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General NPI Number Information
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NPI Number | 1821185406
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Entity Type | Individual
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Provider Name | CHARLTON HENRY BARNES M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 4211 HOSPITAL ST STE 103
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City | PASCAGOULA
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State | MS
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Zip | 39581-5310
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Country | US
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Telephone | 228-769-6000
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Fax | 228-769-6055
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Provider Business Mailing Address
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Address Line | PO BOX 1363
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City | PASCAGOULA
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State | MS
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Zip | 39568-1363
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Country | US
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Telephone | 228-769-6000
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Fax | 228-769-6055
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 13745
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License Number State | MS
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