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General NPI Number Information
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NPI Number | 1740885094
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Entity Type | Individual
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Provider Name | BARRIE HANDSHOE RPH
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Gender | Male
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 27040 US HIGHWAY 98
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City | DAPHNE
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State | AL
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Zip | 36526-4824
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Country | US
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Telephone | 251-621-9096
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Fax |
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Provider Business Mailing Address
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Address Line | 4395 WINONA LN
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City | PACE
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State | FL
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Zip | 32571-2532
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Country | US
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Telephone | 606-260-5033
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 010245
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18474
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License Number State | AL
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