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General NPI Number Information
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NPI Number | 1083987150
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Entity Type | Organization
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Legal Business Name | BARKER THERAPY ARTS LLC
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 12/03/2016
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Provider Practice Location Address
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Address Line | 6910 PACIFIC ST SUITE 320
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City | OMAHA
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State | NE
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Zip | 68106-1054
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Country | US
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Telephone | 402-715-9710
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 COUNTRY CLUB AVE
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City | OMAHA
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State | NE
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Zip | 68104-4222
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Country | US
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Telephone | 402-715-9710
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. ANNE E BARKER
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Credential | LIMHP, LCSW
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Telephone | 402-715-9710
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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 | LIMHP 965; LCSW 1046
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License Number State | NE
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