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General NPI Number Information
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NPI Number | 1972554061
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Entity Type | Individual
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Provider Name | BEATRICE C BARKER MD
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Gender | Female
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 1818 E. WINDSOR ROAD ADULT MEDICINE/GERIATRICS
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City | URBANA
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State | IL
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Zip | 61802
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Country | US
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Telephone | 217-255-9700
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Fax | 217-383-4681
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Provider Business Mailing Address
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Address Line | P.O. BOX 6002
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City | URBANA
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State | IL
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Zip | 61803-6002
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Country | US
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Telephone | 217-326-8300
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 036073208
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License Number State | IL
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