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General NPI Number Information
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NPI Number | 1922317791
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Entity Type | Organization
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Legal Business Name | BRUCE BARBASH, DDS, PC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 10 MEDICAL PKWY SUITE 302
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City | DALLAS
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State | TX
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Zip | 75234-7840
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Country | US
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Telephone | 972-241-7917
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Fax | 972-241-8562
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Provider Business Mailing Address
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Address Line | 10 MEDICAL PKWY SUITE 302
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City | DALLAS
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State | TX
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Zip | 75234-7840
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Country | US
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Telephone | 972-241-7917
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Fax | 972-241-8562
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE M BARBASH
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Credential | DDS
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Telephone | 972-241-7917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 12707
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License Number State | TX
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