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General NPI Number Information
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NPI Number | 1669435947
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Entity Type | Individual
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Provider Name | BARBARA MOON SHOWALTER MD
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Gender | Female
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 2039 CANAL ST SUITE C
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City | MERCED
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State | CA
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Zip | 95340-3726
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Country | US
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Telephone | 209-723-7761
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Fax | 209-381-0322
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Provider Business Mailing Address
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Address Line | 3144 G ST #125-334
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City | MERCED
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State | CA
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Zip | 95340-1300
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Country | US
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Telephone | 209-723-7761
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Fax | 209-381-0322
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G063855
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License Number State | CA
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