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General NPI Number Information
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NPI Number | 1033080775
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Entity Type | Organization
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Legal Business Name | FORT WAYNE COMMUNITY SCHOOLS
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1200 BARR ST
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City | FORT WAYNE
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State | IN
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Zip | 46802-3502
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Country | US
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Telephone | 260-467-1172
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Fax | 260-467-1188
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Provider Business Mailing Address
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Address Line | 1200 BARR ST
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City | FORT WAYNE
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State | IN
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Zip | 46802-3502
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Country | US
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Telephone | 260-467-1172
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Fax | 260-467-1188
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Authorized Official
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Title or Position | SCHOOL PSYCHOLOGIST
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Name | KIERSTYN FAITH BARBOUR
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Credential | ED.M.
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Telephone | 260-467-1172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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