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General NPI Number Information
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NPI Number | 1831859487
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Entity Type | Organization
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Legal Business Name | DR BARNES & ASSOCIATES LLC
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 3075 HAMRICK RD
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2844
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Country | US
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Telephone | 541-734-2467
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Fax | 541-734-0982
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Provider Business Mailing Address
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Address Line | 350 MARY ANN DR
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City | JACKSONVILLE
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State | OR
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Zip | 97530-9706
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Country | US
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Telephone | 541-899-7429
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Fax | 541-734-0982
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Authorized Official
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Title or Position | OPTOMETRIC PHYSICIAN /PART OWNER
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Name | STEPHEN ALLEN BARNES
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Credential | OD
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Telephone | 541-734-2467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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