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General NPI Number Information
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NPI Number | 1922536762
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Entity Type | Organization
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Legal Business Name | BARBER DME SUPPLY GROUP
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Dates
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Enumeration Date | 05/24/2017
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 4080 LAFAYETTE CENTER DR STE 250
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City | CHANTILLY
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State | VA
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Zip | 20151-1247
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Country | US
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Telephone | 703-378-4353
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Fax |
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Provider Business Mailing Address
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Address Line | 4080 LAFAYETTE CENTER DR STE 250
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City | CHANTILLY
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State | VA
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Zip | 20151-1247
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Country | US
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Telephone | 17033784353
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY BARBER
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Credential |
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Telephone | 703-378-4353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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