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General NPI Number Information
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NPI Number | 1972106722
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Entity Type | Individual
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Provider Name | ALEXIS LEIGH BARBOUR PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 4895 E BAY DR UNIT 120
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City | CLEARWATER
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State | FL
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Zip | 33764-6878
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Country | US
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Telephone | 727-330-3988
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Fax | 727-339-6999
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Provider Business Mailing Address
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Address Line | 11317 VIANI TER
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City | PALMETTO
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State | FL
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Zip | 34221-1194
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Country | US
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Telephone | 941-932-5223
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Fax | 727-339-6999
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9113794
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License Number State | FL
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