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General NPI Number Information
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NPI Number | 1710181540
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Entity Type | Organization
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Legal Business Name | THE BARRANCO CLINIC
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 1397 WHISPER CIR
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City | SEBRING
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State | FL
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Zip | 33870-1205
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Country | US
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Telephone | 863-382-4800
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Fax | 863-382-0761
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Provider Business Mailing Address
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Address Line | 160 E LAKE HOWARD DR
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City | WINTER HAVEN
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State | FL
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Zip | 33881-3155
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Country | US
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Telephone | 863-299-1251
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DEANE R BRIGGS
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Credential | M.D.
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Telephone | 863-299-1251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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