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General NPI Number Information
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NPI Number | 1700086246
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Entity Type | Organization
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Legal Business Name | DR W. BARRY HUMENIUK MD PA
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 6045 ALMA RD SUITE 340
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City | MCKINNEY
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State | TX
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Zip | 75070-2188
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Country | US
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Telephone | 972-931-5437
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Fax | 214-427-8411
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Provider Business Mailing Address
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Address Line | 6045 ALMA RD SUITE 340
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City | MCKINNEY
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State | TX
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Zip | 75070-2188
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Country | US
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Telephone | 972-931-5437
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Fax | 214-427-8411
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. WILLIAM BARRY HUMENIUK
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Credential | M.D.
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Telephone | 972-931-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | K6004
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License Number State | TX
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