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General NPI Number Information
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NPI Number | 1821270620
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Entity Type | Organization
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Legal Business Name | BARNES MEDICAL CLINIC PC
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 121 CROSSINGS WEST DRIVE #5
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City | LAKE OZARK
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State | MO
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Zip | 65049
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Country | US
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Telephone | 573-964-6703
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Fax | 573-964-6793
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Provider Business Mailing Address
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Address Line | P.O. BOX 672 121 CROSSINGS WEST DR #5
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City | LAKE OZARK
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State | MO
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Zip | 65049
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Country | US
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Telephone | 573-964-6703
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Fax | 573-964-6793
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. RANDALL CURTIS BARNES
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Credential | D.O.
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Telephone | 573-365-7756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | R3A38
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License Number State | MO
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