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General NPI Number Information
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NPI Number | 1710297221
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Entity Type | Organization
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Legal Business Name | PHILIP BARNETT, M.D., INC.
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 2001 SANTA MONICA BLVD STE 268W
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City | SANTA MONICA
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State | CA
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Zip | 90404-2112
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Country | US
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Telephone | 310-828-5641
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Fax | 310-828-5651
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Provider Business Mailing Address
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Address Line | 8616 LA TIJERA BLVD STE 305
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City | LOS ANGELES
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State | CA
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Zip | 90045-3946
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Country | US
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Telephone | 310-417-9063
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Fax | 866-295-8001
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Authorized Official
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Title or Position | OWNER/CEO
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Name | PHILIP BARNETT
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Credential | M.D.
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Telephone | 310-828-5641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A66800
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License Number State | CA
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