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General NPI Number Information
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NPI Number | 1114734563
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Entity Type | Individual
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Provider Name | LATOYA BARKLEY
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 218A SUNSET RD
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City | WILLINGBORO
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State | NJ
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Zip | 08046-1110
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Country | US
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Telephone | 609-444-0163
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 ROUTE 130 APT 10H
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City | DELRAN
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State | NJ
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Zip | 08075-2617
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Country | US
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Telephone | 609-663-9396
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06384300
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License Number State | NJ
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