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General NPI Number Information
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NPI Number | 1053127068
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Entity Type | Individual
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Provider Name | KAYTLIN BARR
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1234 ARCADIA AVE
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City | VISTA
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State | CA
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Zip | 92084-3404
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Country | US
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Telephone | 760-726-2170
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Fax |
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Provider Business Mailing Address
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Address Line | 1465 CHESTNUT AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-2610
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Country | US
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Telephone | 760-519-6388
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 118013
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 230207790
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License Number State | CA
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