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General NPI Number Information
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NPI Number | 1801112420
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Entity Type | Individual
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Provider Name | KEVIN JULIUS BARRETT ANP-BC
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Gender | Male
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 831 HIGHLAND SPRINGS AVE STE 301
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City | BEAUMONT
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State | CA
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Zip | 92223-5769
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Country | US
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Telephone | 833-864-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 215 S HICKORY ST
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City | ESCONDIDO
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State | CA
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Zip | 92025-4359
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Country | US
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Telephone | 833-867-4642
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1441
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95089847
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License Number State | CA
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