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General NPI Number Information
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NPI Number | 1861996183
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Entity Type | Individual
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Provider Name | LISA BARNES DDS
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Gender | Female
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 7008 SECURITY BLVD STE 110
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City | BALTIMORE
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State | MD
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Zip | 21244-2568
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Country | US
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Telephone | 410-277-9206
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Fax |
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Provider Business Mailing Address
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Address Line | 10125 JUNCTION DR APT 428
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City | ANNAPOLIS JUNCTION
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State | MD
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Zip | 20701-1247
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Country | US
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Telephone | 757-813-4475
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 68793173
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16901
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License Number State | MD
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