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General NPI Number Information
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NPI Number | 1750382446
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Entity Type | Individual
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Provider Name | JEFFERY HOWARD BARON FNP
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Gender | Male
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 386 SYMMES CENTER DR STE 1
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City | WINCHESTER
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State | IN
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Zip | 47394-9402
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Country | US
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Telephone | 765-586-6600
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Fax | 765-547-6503
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Provider Business Mailing Address
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Address Line | 1100 REID PKWY MEDICAL STAFF SERVICES
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City | RICHMOND
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State | IN
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Zip | 47374-1157
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Country | US
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Telephone | 765-983-3127
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71000348A
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License Number State | IN
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