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General NPI Number Information
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NPI Number | 1013489749
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Entity Type | Organization
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Legal Business Name | VICKI BARKER, LMFT, LLC
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 5701 LONETREE BLVD STE 203I
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City | ROCKLIN
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State | CA
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Zip | 95765-3794
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Country | US
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Telephone | 916-316-1254
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 222
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City | LOOMIS
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State | CA
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Zip | 95650-0222
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Country | US
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Telephone | 916-316-1254
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | VICKI BARKER
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Credential | MA
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Telephone | 916-316-1254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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