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General NPI Number Information
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NPI Number | 1699288951
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Entity Type | Individual
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Provider Name | LINDA BARBER ATP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 1221 PROFIT DR
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City | DALLAS
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State | TX
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Zip | 75247-3919
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Country | US
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Telephone | 254-313-7602
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Fax | 254-442-7898
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Provider Business Mailing Address
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Address Line | 10513 T BURY
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City | WACO
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State | TX
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Zip | 76708-5867
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Country | US
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Telephone | 254-313-7602
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Fax | 254-442-7898
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number | ATP88213
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License Number State | TX
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