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General NPI Number Information
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NPI Number | 1790253011
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Entity Type | Individual
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Provider Name | ZEPHRINE L BARNES HAIR LOSS SPECIALIST
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 3411 COLONNADE PKWY STE 25
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3377
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Country | US
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Telephone | 205-746-4790
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Fax |
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Provider Business Mailing Address
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Address Line | 1349 WARRIOR RD
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City | BIRMINGHAM
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State | AL
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Zip | 35218-3247
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Country | US
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Telephone | 205-746-4790
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number | 110806
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License Number State | AL
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