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General NPI Number Information
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NPI Number | 1114080710
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Entity Type | Organization
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Legal Business Name | MARILOU BARRATT PC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 10060 VISTA CT
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City | MYERSVIILE
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State | MD
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Zip | 21773-8138
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Country | US
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Telephone | 240-818-8344
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Fax |
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Provider Business Mailing Address
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Address Line | 10060 VISTA COURT
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City | MYERSVILLE
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State | MD
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Zip | 21773-8138
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Country | US
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Telephone | 301-766-0041
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Fax | 301-766-0041
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARILOU BARRATT
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Credential | LCSWC
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Telephone | 301-766-0041
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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 | 04111
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License Number State | MD
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