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General NPI Number Information
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NPI Number | 1932453735
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Entity Type | Organization
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Legal Business Name | ABIGAIL & RYAN BARNES, INC
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Dates
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Enumeration Date | 10/31/2012
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Last Update Date | 10/31/2012
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Provider Practice Location Address
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Address Line | 141 N WEBER RD
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City | BOLINGBROOK
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State | IL
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Zip | 60490-1504
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Country | US
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Telephone | 630-378-4342
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Fax |
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Provider Business Mailing Address
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Address Line | 3329 BROMLEY LN
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City | AURORA
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State | IL
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Zip | 60502-6535
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Country | US
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Telephone | 630-977-9611
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABIGAIL BARNES
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Credential | O.D.
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Telephone | 630-977-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046009948
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License Number State | IL
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