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General NPI Number Information
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NPI Number | 1821039660
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Entity Type | Individual
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Provider Name | VINCENT B. BARKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 11740 COLUMBIA ST
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City | BLAKELY
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State | GA
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Zip | 39823-2574
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Country | US
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Telephone | 229-724-4282
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Fax | 229-724-4283
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Provider Business Mailing Address
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Address Line | 500 S CHESTNUT ST
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City | ABERDEEN
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State | MS
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Zip | 39730-3337
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Country | US
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Telephone | 662-369-9525
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19004
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 066252
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License Number State | GA
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