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General NPI Number Information
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NPI Number | 1093392508
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Entity Type | Individual
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Provider Name | HEATHER LEANN BARBER LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 350 RICH ST
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City | SYRACUSE
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State | NY
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Zip | 13207-1427
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Country | US
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Telephone | 315-937-7989
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Fax |
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Provider Business Mailing Address
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Address Line | 239 ESTHER ST
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City | MINOA
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State | NY
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Zip | 13116-1711
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Country | US
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Telephone | 315-484-6949
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 001695
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License Number State | NY
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