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General NPI Number Information
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NPI Number | 1720353139
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Entity Type | Individual
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Provider Name | JUAN CARLOS BARRIOS LMT
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Gender | Male
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 13260 SW 205TH LN
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City | MIAMI
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State | FL
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Zip | 33177-6179
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Country | US
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Telephone | 305-562-9195
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Fax | 305-969-4793
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Provider Business Mailing Address
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Address Line | 13260 SW 205TH LN
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City | MIAMI
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State | FL
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Zip | 33177-6179
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Country | US
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Telephone | 305-562-9195
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Fax | 305-969-4793
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MA66880
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License Number State | FL
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