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General NPI Number Information
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NPI Number | 1003846239
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Entity Type | Individual
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Provider Name | MARY BETH BARNES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 2300 RAMSEY ST MS 116
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-3856
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Country | US
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Telephone | 910-488-2120
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Fax | 910-822-7934
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Provider Business Mailing Address
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Address Line | 385 STEVE RDG
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City | WILLOW SPRING
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State | NC
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Zip | 27592-6524
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Country | US
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Telephone | 919-239-4334
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Fax |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2506
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License Number State | NC
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