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General NPI Number Information
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NPI Number | 1124240148
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Entity Type | Individual
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Provider Name | BARBARA JEAN LANG MAPC LISAC LCAC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1427 N 3RD ST # 130
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City | PHOENIX
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State | AZ
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Zip | 85004-1605
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Country | US
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Telephone | 602-253-8488
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Fax | 602-253-8340
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Provider Business Mailing Address
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Address Line | 1668 E TREMAINE AVE
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City | GILBERT
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State | AZ
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Zip | 85234-8138
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Country | US
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Telephone | 480-710-8995
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | AZ
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