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General NPI Number Information
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NPI Number | 1992362792
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Entity Type | Organization
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Legal Business Name | BARNES DENTRAL GROUP, INC
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 701 HOWE AVE STE B34
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City | SACRAMENTO
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State | CA
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Zip | 95825-4604
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Country | US
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Telephone | 916-900-7000
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Fax | 916-475-7770
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Provider Business Mailing Address
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Address Line | 701 HOWE AVE STE B34
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City | SACRAMENTO
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State | CA
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Zip | 95825-4604
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Country | US
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Telephone | 916-900-7000
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Fax | 916-475-7770
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN J BARNES
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Credential |
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Telephone | 916-900-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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