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General NPI Number Information
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NPI Number | 1669904793
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Entity Type | Organization
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Legal Business Name | ELIZABETH BARRETT, AP
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 237 LOOKOUT PL
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City | MAITLAND
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State | FL
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Zip | 32751-8433
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Country | US
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Telephone | 407-272-7514
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Fax |
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Provider Business Mailing Address
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Address Line | 907 BALLARD ST APT A
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5731
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Country | US
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Telephone | 407-272-7514
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Fax |
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Authorized Official
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Title or Position | EASTERN MEDICINE PHYSICIAN
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Name | ELIZABETH BARRETT
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Credential |
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Telephone | 407-272-7514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP3750
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License Number State | FL
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