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General NPI Number Information
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NPI Number | 1740762459
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Entity Type | Individual
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Provider Name | BRANDI L. BARKER D.C.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 590 N. KIMBALL AVE SUITE 140
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City | SOUTHLAKE
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State | TX
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Zip | 76092
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Country | US
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Telephone | 817-778-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 TROWBRIDGE CT
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City | KELLER
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State | TX
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Zip | 76248-5254
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Country | US
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Telephone | 605-999-3170
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4293
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 14046
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License Number State | TX
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