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General NPI Number Information
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NPI Number | 1023112521
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Entity Type | Individual
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Provider Name | DOROTHY MARIE BARRA LPC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 2501 FOREST PARK BLVD STE 3B
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City | FORT WORTH
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State | TX
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Zip | 76110-2257
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Country | US
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Telephone | 817-924-6650
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Fax | 817-922-0398
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Provider Business Mailing Address
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Address Line | 3408 COCKRELL AVE
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City | FORT WORTH
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State | TX
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Zip | 76109-3003
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Country | US
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Telephone | 817-924-6650
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Fax | 817-922-0398
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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 | 13162
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License Number State | TX
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