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General NPI Number Information
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NPI Number | 1104206747
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Entity Type | Individual
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Provider Name | KATHERINE M BARNES C.A.T.C
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Gender | Female
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 795 FLETCHER LN
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City | HAYWARD
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State | CA
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Zip | 94544-1008
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Country | US
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Telephone | 510-274-8300
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Fax | 510-274-8295
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Provider Business Mailing Address
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Address Line | 4187 WINDSONG DR
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City | TRACY
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State | CA
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Zip | 95377-8738
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Country | US
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Telephone | 510-301-8794
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 01-93
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License Number State | CA
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