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General NPI Number Information
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NPI Number | 1902794647
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Entity Type | Individual
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Provider Name | MARISA ADAMS BARRETT PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 400 ROSALIND REDFERN GROVER PKWY
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City | MIDLAND
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State | TX
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Zip | 79701-6499
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Country | US
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Telephone | 432-221-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 110 PAVILION PKWY APT 415
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City | MIDLAND
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State | TX
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Zip | 79705-2284
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Country | US
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Telephone | 570-290-4353
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19387
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | TX
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