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General NPI Number Information
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NPI Number | 1922084748
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Entity Type | Individual
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Provider Name | BRENT A BARROW M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2305 CHAMBLISS AVE NW
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City | CLEVELAND
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State | TN
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Zip | 37311-3847
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Country | US
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Telephone | 657-666-8708
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 LAUREL AVE # N304
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City | KNOXVILLE
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State | TN
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Zip | 37916-1810
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Country | US
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Telephone | 865-766-6870
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD26894
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License Number State | TN
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