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General NPI Number Information
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NPI Number | 1952949695
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Entity Type | Individual
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Provider Name | JOSEPH BARBETTA
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Gender | Male
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Dates
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Enumeration Date | 12/12/2019
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | WEEB EWBANK WAY
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City | OXFORD
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State | OH
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Zip | 45056
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Country | US
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Telephone | 513-529-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 6239 LANCASHIRE TRL
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-5751
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Country | US
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Telephone | 330-715-5247
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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