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General NPI Number Information
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NPI Number | 1720072168
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Entity Type | Individual
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Provider Name | PAMELA A BARKETT DDS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13 LISBON ST
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City | CANFIELD
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State | OH
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Zip | 44406-1415
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Country | US
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Telephone | 330-533-5666
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Fax | 330-533-5270
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Provider Business Mailing Address
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Address Line | 13 LISBON ST PO BOX 335
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City | CANFIELD
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State | OH
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Zip | 44406-1415
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Country | US
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Telephone | 330-533-5666
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Fax | 330-533-5270
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 18671
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License Number State | OH
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