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General NPI Number Information
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NPI Number | 1770663536
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Entity Type | Individual
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Provider Name | JOEL E BARBATO M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 401 PHALEN BLVD
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City | SAINT PAUL
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State | MN
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Zip | 55130-5302
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Country | US
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Telephone | 651-254-7980
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Fax | 651-254-7969
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE S # MS 21110Q
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone |
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Fax | 651-254-7969
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 51941
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 51048
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD418429
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 51048
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License Number State | MN
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