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NPI 1649934399

NPI 1649934399 : NATHAN BARILE : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1649934399
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    Entity Type          |    Individual 
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    Provider Name        |    NATHAN BARILE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/28/2021
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    Last Update Date     |    10/28/2021
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Provider Practice Location Address
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    Address Line         |    3410 LA SIERRA AVE # F-123A 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92503-5270
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    Country              |    US
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    Telephone            |    951-801-2513
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3410 LA SIERRA AVE # F-123A 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92503-5270
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    Country              |    US
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    Telephone            |    951-801-2513
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    Fax                  |    
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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        |    246YC3302X
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    Taxonomy Name        |    Physician Office Based Coding Specialist
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    License Number       |    
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    License Number State |    
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