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General NPI Number Information
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NPI Number | 1073971586
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Entity Type | Individual
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Provider Name | DEANNA RENEE BARTON ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 01/29/2016
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 2000 S DIXIE HWY SUITE 104
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City | MIAMI
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State | FL
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Zip | 33133-2456
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Country | US
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Telephone | 770-330-4493
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Fax |
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Provider Business Mailing Address
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Address Line | 1865 79TH STREET CSWY #PHO
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4238
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Country | US
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Telephone | 770-330-4493
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 14-188
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License Number State | FL
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