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General NPI Number Information
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NPI Number | 1013395821
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Entity Type | Individual
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Provider Name | MARNA MOORE-BARR FNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1050 LAS TABLAS RD STE 13
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City | TEMPLETON
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State | CA
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Zip | 93465-9480
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Country | US
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Telephone | 805-285-7557
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Fax | 805-461-1763
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Provider Business Mailing Address
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Address Line | 1050 LAS TABLAS RD STE 13
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City | TEMPLETON
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State | CA
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Zip | 93465-9480
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Country | US
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Telephone | 805-285-7557
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Fax | 805-461-1763
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 494670
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95009427
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License Number State | CA
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