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General NPI Number Information
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NPI Number | 1861402083
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Entity Type | Individual
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Provider Name | KATHY N. BARNES D.D.S.,
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 803 S WALKER ST
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City | BURGAW
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State | NC
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Zip | 28425-5001
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Country | US
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Telephone | 910-259-1230
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Fax | 910-259-1258
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Provider Business Mailing Address
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Address Line | 803 S WALKER ST
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City | BURGAW
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State | NC
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Zip | 28425-5001
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Country | US
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Telephone | 910-259-1230
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Fax | 910-259-1258
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5792
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License Number State | NC
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