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General NPI Number Information
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NPI Number | 1972544013
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Entity Type | Individual
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Provider Name | BRUCE BARKER MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 801 OHIO HEALTH BLVD STE 160
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City | DELAWARE
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State | OH
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Zip | 43015-7883
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Country | US
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Telephone | 740-615-0112
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Fax | 740-615-0253
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Provider Business Mailing Address
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Address Line | 5450 FRANTZ RD STE 360
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City | DUBLIN
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State | OH
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Zip | 43016-4141
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35084556B
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 35.084556
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License Number State | OH
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