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General NPI Number Information
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NPI Number | 1689886103
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Entity Type | Individual
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Provider Name | VIOLET BARBOSA MDS, DDS
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Gender | Female
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9630 RAVENNA ROAD, SUITE 500
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City | TWINSBURG
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State | OH
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Zip | 44087
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Country | US
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Telephone | 330-474-1317
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Fax |
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Provider Business Mailing Address
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Address Line | 3124 KILLINGWORTH LANE
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City | TWINSBURG
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State | OH
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Zip | 44087
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Country | US
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Telephone | 216-763-2764
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30-22016
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License Number State | OH
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