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General NPI Number Information
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NPI Number | 1740349141
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Entity Type | Individual
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Provider Name | ROBERT FRANCIS BARRY JR. LAC DIPL OF AC
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 330 TRES PINOS RD SUITE B25
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City | HOLLISTER
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State | CA
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Zip | 95023
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Country | US
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Telephone | 831-207-9086
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Fax | 831-636-7958
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Provider Business Mailing Address
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Address Line | 330 TRES PINOS RD SUITE B25
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City | HOLLISTER
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State | CA
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Zip | 95023
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Country | US
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Telephone | 831-207-9086
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Fax | 831-636-7958
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8319
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License Number State | CA
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