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General NPI Number Information
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NPI Number | 1710171467
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Entity Type | Individual
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Provider Name | JESSICA ANTHONY BARBER PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 1181 FIRST COLONIAL RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2437
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Country | US
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Telephone | 757-496-5370
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Fax | 757-481-3354
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Provider Business Mailing Address
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Address Line | 1181 FIRST COLONIAL RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-2437
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Country | US
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Telephone | 757-496-5370
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Fax | 757-481-3354
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0110002586
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License Number State | VA
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