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General NPI Number Information
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NPI Number | 1053875823
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Entity Type | Individual
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Provider Name | BETTY ANN BARRETT MS CCC
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Gender | Female
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 01/25/2019
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Provider Practice Location Address
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Address Line | 9541 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-1315
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Country | US
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Telephone | 818-893-6385
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55155
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City | SHERMAN OAKS
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State | CA
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Zip | 91413-0155
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Country | US
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Telephone | 818-339-2347
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 3944
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License Number State | CA
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