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General NPI Number Information
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NPI Number | 1902223985
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Entity Type | Individual
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Provider Name | SHANNA MARIE BARTON M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 411 E CHESTNUT ST # 4B5A
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City | LOUISVILLE
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State | KY
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Zip | 40202-1713
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Country | US
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Telephone | 502-588-2348
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Fax | 502-588-2334
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Provider Business Mailing Address
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Address Line | 571 S FLOYD ST STE 321
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City | LOUISVILLE
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State | KY
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Zip | 40202-3816
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Country | US
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Telephone | 859-351-8754
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 51446
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 51446
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License Number State | KY
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