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NPI 1013932037

NPI 1013932037 : JACQUES P BARBER PHD : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1013932037
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    Entity Type          |    Individual 
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    Provider Name        |    JACQUES P BARBER PHD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    05/02/2012
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Provider Practice Location Address
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    Address Line         |    3535 MARKET ST 3RD FLOOR
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-3309
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    Country              |    US
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    Telephone            |    215-746-6700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3535 MARKET ST SUITE 648
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-3309
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    Country              |    US
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    Telephone            |    215-662-2306
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    Fax                  |    215-746-5155
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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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PS005226L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PS005226L
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    PS005226L
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    License Number State |    PA
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Taxonomy #4
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    Taxonomy Code        |    103TP2701X
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    Taxonomy Name        |    Group Psychotherapy Psychologist
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    License Number       |    PS005226L
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    License Number State |    PA
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