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General NPI Number Information
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NPI Number | 1669456851
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Entity Type | Individual
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Provider Name | JEREMY CLARK BARLOW MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 200 MONTGOMERY HWY STE 200
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-1896
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Country | US
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Telephone | 205-723-0088
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Fax | 205-406-7222
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Provider Business Mailing Address
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Address Line | PO BOX 530604
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City | BIRMINGHAM
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State | AL
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Zip | 35253-0604
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Country | US
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Telephone | 205-879-8294
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Fax | 205-879-8259
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 19621
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 19621
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License Number State | AL
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