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General NPI Number Information
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NPI Number | 1952609067
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Entity Type | Individual
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Provider Name | ROY A. BARG CNA
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Gender | Male
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Dates
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Enumeration Date | 03/14/2011
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 1124 CLUBHOUSE DR SUITE 01
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City | MANSFIELD
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State | TX
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Zip | 76063-2676
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Country | US
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Telephone | 817-734-3973
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Fax | 817-870-1057
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Provider Business Mailing Address
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Address Line | 1124 CLUBHOUSE DR SUITE 01
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City | MANSFIELD
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State | TX
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Zip | 76063-2676
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Country | US
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Telephone | 817-734-3973
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Fax | 817-870-1057
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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 | 146D00000X
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Taxonomy Name | Personal Emergency Response Attendant
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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 | 246Y00000X
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Taxonomy Name | Health Information Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2472D0500X
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Taxonomy Name | Darkroom Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | NA08676030
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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