Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
281PC2000X |
| NPI # | 1326574591 |
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| LBN Legal business name | NICHOLAS BARKER | ||||
| Authorized official | NICHOLAS BARKER - (SON) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/10/2017 | ||||
| Last updated | 05/10/2017 - About 9 years ago | ||||
| Identifiers |
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