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General NPI Number Information
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NPI Number | 1780143511
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Entity Type | Individual
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Provider Name | TARA EADDY BARRINEAU PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 115 N SUMTER ST STE 300
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City | SUMTER
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State | SC
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Zip | 29150-4967
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Country | US
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Telephone | 803-775-1550
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Fax | 803-775-7258
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-522-8603
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3184
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 3184
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License Number State | SC
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