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General NPI Number Information
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NPI Number | 1992020911
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Entity Type | Organization
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Legal Business Name | ARTHUR A BARLIS M D PA
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 646 VIRGINIA ST
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City | DUNEDIN
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State | FL
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Zip | 34698-6612
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Country | US
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Telephone | 727-734-6593
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Fax | 727-736-5866
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Provider Business Mailing Address
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Address Line | 601 MAIN ST
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City | DUNEDIN
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State | FL
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Zip | 34698-5848
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Country | US
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Telephone | 727-734-6593
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Fax | 727-736-5866
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARTHUR A BARLIS
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Credential | M D PA
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Telephone | 727-734-6593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0016744
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License Number State | FL
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