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General NPI Number Information
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NPI Number | 1982945861
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Entity Type | Individual
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Provider Name | MR. RICKEY BARNES
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Gender | Male
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Dates
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Enumeration Date | 03/02/2013
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Last Update Date | 03/02/2013
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Provider Practice Location Address
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Address Line | 684 E HWY 50
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City | CLERMONT
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State | FL
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Zip | 34711-3184
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Country | US
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Telephone | 352-242-9061
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Fax |
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Provider Business Mailing Address
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Address Line | 3661 CUMBRIA CT
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City | APOPKA
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State | FL
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Zip | 32712-5684
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Country | US
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Telephone | 321-279-6437
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS27940
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License Number State | FL
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