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General NPI Number Information
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NPI Number | 1851623060
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Entity Type | Individual
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Provider Name | STEPHEN A. BARNES R.PH.
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Gender | Male
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 01/09/2022
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Provider Practice Location Address
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Address Line | 4200 WESTERN AVENUE
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City | CONNERSVILLE
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State | IN
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Zip | 47331-9729
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Country | US
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Telephone | 765-825-7664
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Fax | 765-825-7868
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | LEWISBURG
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State | OH
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Zip | 45338-0187
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12421
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26023990A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS37871
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-3-19792
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License Number State | OH
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