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General NPI Number Information
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NPI Number | 1922352749
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Entity Type | Organization
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Legal Business Name | BARNMAX SERVICES LLC
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 8330 CURRENCY DR #1
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-1755
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Country | US
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Telephone | 561-758-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 8330 CURRENCY DR #1
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-1755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ALLYSON CHAMBERS
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Credential |
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Telephone | 561-758-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 800027020
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License Number State | FL
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