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General NPI Number Information
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NPI Number | 1053117952
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Entity Type | Individual
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Provider Name | CARRIE J BARHAM CNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 3330 MASONIC DR
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3841
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Country | US
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Telephone | 318-466-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 HIGHWAY 115
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City | DEVILLE
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State | LA
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Zip | 71328-9297
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Country | US
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Telephone | 318-564-9449
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 239689
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License Number State | LA
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