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General NPI Number Information
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NPI Number | 1861658239
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Entity Type | Individual
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Provider Name | DEBORAH L. BARROS ACNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 283 N 1ST EAST DRIGGS HEALTH CLINIC
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City | DRIGGS
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State | ID
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Zip | 83422-5112
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Country | US
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Telephone | 208-354-2302
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Fax | 208-354-8392
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Provider Business Mailing Address
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Address Line | 39 MORNING BREEZE LN
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City | JACKSON
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State | TN
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Zip | 38305-9654
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Country | US
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Telephone | 731-202-1909
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19023A
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-884
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License Number State | ID
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