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General NPI Number Information
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NPI Number | 1679784235
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Entity Type | Individual
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Provider Name | GEORGE JAMES BARRERA CFA
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Gender | Male
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 10/29/2010
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Provider Practice Location Address
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Address Line | 21739 HARDY OAK BLVD #2108
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City | SAN ANTONIO
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State | TX
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Zip | 78258-1715
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Country | US
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Telephone | 210-602-4243
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Fax |
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Provider Business Mailing Address
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Address Line | 21739 HARDY OAK BLVD APT 2108
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2365
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Country | US
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Telephone | 210-602-4243
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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