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General NPI Number Information
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NPI Number | 1649478819
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Entity Type | Individual
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Provider Name | MARKITTA SAMONE BARNETT O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 2500 FUNSTON ROAD
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City | JBSA FT SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-223-1104
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Fax | 210-223-6063
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Provider Business Mailing Address
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Address Line | 1610 BUNCHBERRY
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City | SAN ANTONIO
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State | TX
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Zip | 78260-4438
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Country | US
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Telephone | 210-592-3641
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Fax | 360-935-8560
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2048
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 348
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 7281T
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License Number State | TX
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