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General NPI Number Information
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NPI Number | 1861438624
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Entity Type | Individual
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Provider Name | HORATIO THOMAS BARNARD O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 2564 ENTERPRISE RD
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City | ORANGE CITY
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State | FL
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Zip | 32763-7904
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Country | US
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Telephone | 386-774-7242
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Fax | 376-774-7442
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Provider Business Mailing Address
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Address Line | 701 S RIDGEWOOD AVE
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5331
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Country | US
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Telephone | 386-253-5999
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Fax | 386-253-1193
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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 | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC876
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC876
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License Number State | FL
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