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General NPI Number Information
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NPI Number | 1821169210
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Entity Type | Individual
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Provider Name | RAFAEL BARRERA MD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | LIJMC-DEPT. OF SURGERY 270-05 76TH AVENUE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 718-470-7645
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Fax |
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Provider Business Mailing Address
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Address Line | LIJMC-DEPT. OF SURGERY 270-05 76TH AVENUE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 718-470-7645
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Fax | 718-343-3429
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 189579
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 189579
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License Number State | NY
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