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General NPI Number Information
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NPI Number | 1831598945
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Entity Type | Individual
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Provider Name | MICHAEL REGAN BARR LAC
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Gender | Male
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 1841 BROADWAY SUITE 509
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City | NEW YORK
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State | NY
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Zip | 10023-7603
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Country | US
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Telephone | 212-489-5038
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Fax |
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Provider Business Mailing Address
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Address Line | 195 STANTON ST APT 6F
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City | NEW YORK
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State | NY
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Zip | 10002-1819
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Country | US
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Telephone | 917-405-7326
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 005351
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License Number State | NY
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