NPI Registry Details

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NPI Number Detailed Information

     
Provider Information:    
  Name: Aaron Leif Barnard
  Gender: M
  Provider License Number If Given: PA208
     
NPI Information:    
  NPI: 1174651376
  Entity Type (Individual or Organization): 1-ind
  Enumeration Date: 3/1/2007
  Last Update Date: 4/20/2011
     
Provider Business Mailing Address:    
  Address: 107 FIRST PARK DR
Oakland, ME 04963
  Phone Number: 2078738100
  Fax Number: 2078738101
     
Provider Business Practice Location Address:    
  Address: 107 FIRST PARK DR
Oakland, ME 04963
  Phone Number: 2078738100
  Fax Number: 2078738101
     
Provider Taxonomy:    
  Primary: 363A00000X
  Secondary (if any): 363A00000X
  State: ME