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General NPI Number Information
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NPI Number | 1700028743
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Entity Type | Individual
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Provider Name | DR. LAURA ELIZABETH BARKLEY
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Gender | Female
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 550 S JACKSON ST ACB 3RD FLOOR
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone | 502-819-9997
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 SPRING ST SUITE 2
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3704
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Country | US
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Telephone | 812-283-5950
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Fax | 812-285-5439
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01075396A
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License Number State | IN
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