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General NPI Number Information
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NPI Number | 1881710135
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Entity Type | Organization
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Legal Business Name | BARRINGER,NELSON & HOLMES PA
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1110 DRUID CIR
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City | LAKE WALES
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State | FL
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Zip | 33853-4307
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Country | US
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Telephone | 863-676-7914
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Fax | 863-676-3007
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Provider Business Mailing Address
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Address Line | 1110 DRUID CIR
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City | LAKE WALES
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State | FL
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Zip | 33853-4307
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Country | US
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Telephone | 863-676-7914
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Fax | 863-676-3007
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES A NELSON
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Credential | M.D.
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Telephone | 863-676-7914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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