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General NPI Number Information
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NPI Number | 1770654451
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Entity Type | Individual
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Provider Name | KEVIN THOMAS BARLOW AUD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 510 1ST ST S
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3601
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Country | US
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Telephone | 863-293-6507
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Fax | 863-291-0737
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Provider Business Mailing Address
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Address Line | 510 1ST ST S
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3601
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Country | US
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Telephone | 863-293-6507
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Fax | 863-291-0737
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY235
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License Number State | FL
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