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General NPI Number Information
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NPI Number | 1851632889
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Entity Type | Individual
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Provider Name | IAN BARNES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 03/15/2013
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Last Update Date | 03/15/2013
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Provider Practice Location Address
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Address Line | 1890 IRONDALE RD
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City | PORT HADLOCK
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State | WA
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Zip | 98339-9582
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Country | US
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Telephone | 360-385-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 72 CARLI CT
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-9100
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Country | US
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Telephone | 513-314-1826
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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 | PH60230120
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License Number State | WA
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