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General NPI Number Information
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NPI Number | 1992938054
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Entity Type | Organization
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Legal Business Name | BARBER CHIROPRACTIC
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 1926 S LAKE DR
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City | LEXINGTON
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State | SC
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Zip | 29073-8282
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Country | US
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Telephone | 803-808-1897
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 84522
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City | LEXINGTON
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State | SC
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Zip | 29073-0009
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Country | US
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Telephone | 803-331-2732
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. GLENN BARBER
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Credential |
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Telephone | 803-331-2732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 983
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License Number State | SC
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