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General NPI Number Information
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NPI Number | 1801185426
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Entity Type | Individual
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Provider Name | LINDA POPE BARBOUR L.AC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 4 SHENANDOAH BLVD
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City | NEWNAN
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State | GA
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Zip | 30265-1158
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Country | US
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Telephone | 678-416-2963
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Fax |
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Provider Business Mailing Address
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Address Line | 609 GARAMOND PL
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2606
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Country | US
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Telephone | 678-416-2963
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 286
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License Number State | GA
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