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General NPI Number Information
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NPI Number | 1821167396
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Entity Type | Individual
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Provider Name | BARTON CHARLES BARRE' D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 2645 MANHATTAN BLVD STE D5
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City | HARVEY
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State | LA
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Zip | 70058-3386
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Country | US
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Telephone | 504-367-0355
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Fax | 504-229-5203
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Provider Business Mailing Address
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Address Line | 2645 MANHATTAN BLVD. BLVD SUITE D-5
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City | HARVEY
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State | LA
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Zip | 70058-3378
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Country | US
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Telephone | 504-367-0355
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Fax | 504-229-5203
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4161
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License Number State | LA
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