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General NPI Number Information
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NPI Number | 1922770916
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Entity Type | Individual
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Provider Name | LARRY BRYANT BARNARD JR. FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 1 LONG WHARF DR
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City | NEW HAVEN
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State | CT
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Zip | 06511-5991
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Country | US
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Telephone | 203-785-2807
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Fax | 203-785-2807
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Provider Business Mailing Address
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Address Line | 9 JACOB LN
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City | KILLINGWORTH
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State | CT
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Zip | 06419-1185
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Country | US
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Telephone | 843-441-2829
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN278883
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 214166
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License Number State | CT
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