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General NPI Number Information
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NPI Number | 1780154856
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Entity Type | Individual
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Provider Name | LILLIAN THOMAS BARKER AT
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Gender | Female
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Dates
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Enumeration Date | 11/30/2018
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 2239 WALKER AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78236-5632
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Country | US
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Telephone | 949-302-8137
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Fax |
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Provider Business Mailing Address
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Address Line | 11434 CULEBRA RD APT 6108
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6165
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Country | US
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Telephone | 949-302-8137
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 8345
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License Number State | TX
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