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General NPI Number Information
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NPI Number | 1710993753
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Entity Type | Individual
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Provider Name | PETER S BARNARD CNM
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 1140 E 3900 S STE 400
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City | SALT LAKE CITY
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State | UT
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Zip | 84124-1228
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Country | US
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Telephone | 801-268-6811
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Fax | 801-268-8673
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Provider Business Mailing Address
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Address Line | PO BOX 198546
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City | ATLANTA
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State | GA
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Zip | 30384-8546
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Country | US
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Telephone |
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Fax |
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 218615-4402
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License Number State | UT
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