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General NPI Number Information
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NPI Number | 1881019636
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Entity Type | Individual
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Provider Name | IGNACIO R BARBA
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Gender | Male
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 4445 W 16TH AVE SUITE 250
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City | HIALEAH
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State | FL
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Zip | 33012-7189
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Country | US
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Telephone | 305-826-4570
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Fax | 305-827-1404
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Provider Business Mailing Address
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Address Line | 4445 W 16TH AVE SUITE 250
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City | HIALEAH
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State | FL
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Zip | 33012-7189
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Country | US
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Telephone | 305-826-4570
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Fax | 305-827-1404
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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 | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | CRT38688
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License Number State | FL
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