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NPI 1083229769

NPI 1083229769 : KRISTEN BARRICK, PLLC : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1083229769
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    Entity Type          |    Organization 
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    Legal Business Name  |    KRISTEN BARRICK, PLLC 
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Dates
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    Enumeration Date     |    09/10/2020
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    Last Update Date     |    09/10/2020
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Provider Practice Location Address
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    Address Line         |    3611 S SONCY RD STE 9B 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79119-6408
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    Country              |    US
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    Telephone            |    806-673-7954
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3611 S SONCY RD STE 9B 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79119-6408
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    Country              |    US
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    Telephone            |    806-673-7954
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KRISTEN  BARRICK 
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    Credential           |    LPC
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    Telephone            |    896-673-7954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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