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Individual
BARRY L DEESE
Active
Individual
BARRY L DEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006258
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002711533
HIGHMARK BLUE SHIELD
PA
01
—
50110068
CAPITAL BLUE CROSS
PA
01
—
P01100007
RAILROAD MEDICARE
PA
Enumeration date
06/29/2012
Last updated
08/23/2018
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