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General NPI Number Information
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NPI Number | 1649408998
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Entity Type | Individual
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Provider Name | DEREK ALAN BARKER D.P.M
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Gender | Male
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 481 E G MILES PKWY STE C
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City | HINESVILLE
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State | GA
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Zip | 31313-4004
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Country | US
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Telephone | 912-432-7236
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Fax | 912-432-7243
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Provider Business Mailing Address
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Address Line | 501 W ONEIDA ST
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City | WAYCROSS
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State | GA
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Zip | 31501-5337
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Country | US
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Telephone | 912-283-6471
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Fax | 912-283-3590
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD001472
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002322
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License Number State | MI
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