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General NPI Number Information
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NPI Number | 1831853597
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Entity Type | Individual
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Provider Name | JAIME BARNAS CPNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 370 LARRY POWER RD STE 1
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City | BOURBONNAIS
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State | IL
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Zip | 60914-5194
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Country | US
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Telephone | 815-937-3515
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Fax |
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Provider Business Mailing Address
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Address Line | 9033 N 16000E RD
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City | GRANT PARK
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State | IL
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Zip | 60940-5143
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Country | US
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Telephone | 708-743-3996
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 209028400
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License Number State | IL
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