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General NPI Number Information
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NPI Number | 1720257629
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Entity Type | Organization
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Legal Business Name | NANCY R. BARRETT MD, LLC
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 1715 37TH PL 3RD FL.
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City | VERO BEACH
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State | FL
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Zip | 32960-4502
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Country | US
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Telephone | 772-978-0339
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Fax | 772-978-0391
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Provider Business Mailing Address
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Address Line | 1715 37TH PL 3RD FL.
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City | VERO BEACH
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State | FL
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Zip | 32960-4502
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Country | US
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Telephone | 772-978-0339
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. SHANE THOMAS BARRETT
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Credential |
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Telephone | 772-978-0339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME92210
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License Number State | FL
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