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General NPI Number Information
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NPI Number | 1114042314
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Entity Type | Individual
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Provider Name | M. GAY BARNETTE LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 105 E MAIN ST STE 202C
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City | BRENHAM
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State | TX
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Zip | 77833-3785
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Country | US
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Telephone | 979-830-5850
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Fax | 979-251-7051
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Provider Business Mailing Address
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Address Line | 2504 MUSTANG RD
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City | BRENHAM
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State | TX
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Zip | 77833-6058
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Country | US
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Telephone | 979-830-5850
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Fax | 979-251-7051
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10946
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License Number State | TX
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