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General NPI Number Information
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NPI Number | 1003055500
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Entity Type | Individual
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Provider Name | RAYMOND BARRETT LPC, LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/07/2009
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 514 S MAIN ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2246
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Country | US
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Telephone | 585-857-6122
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Fax | 585-905-3239
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Provider Business Mailing Address
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Address Line | 261 S PEARL ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1749
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Country | US
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Telephone | 585-857-6122
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Fax | 585-905-3239
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC006295
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8823
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 005308
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License Number State | NY
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