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General NPI Number Information
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NPI Number | 1972882538
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Entity Type | Organization
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Legal Business Name | AJ BARHOUSH MD PA
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 1054 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-0921
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Country | US
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Telephone | 352-732-3603
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Fax | 352-732-6447
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Provider Business Mailing Address
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Address Line | 1054 SW 1ST AVE
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City | OCALA
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State | FL
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Zip | 34471-0921
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Country | US
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Telephone | 352-732-3603
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Fax | 352-732-6447
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Authorized Official
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Title or Position | PERSIDENT
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Name | DR. ABDUL JABBAR BARHOUSH
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Credential | MD
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Telephone | 352-732-3036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME21215
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License Number State | FL
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