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General NPI Number Information
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NPI Number | 1154531044
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Entity Type | Individual
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Provider Name | ALISSA NICOLE BARNES NP
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 02/13/2018
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Provider Practice Location Address
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Address Line | 699 BURROUGHS ST
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City | MORGANTOWN
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State | WV
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Zip | 26505-3346
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Country | US
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Telephone | 304-241-6875
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Fax |
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Provider Business Mailing Address
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Address Line | 699 BURROUGHS ST
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City | MORGANTOWN
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State | WV
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Zip | 26505-3346
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Country | US
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Telephone | 304-241-6875
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 2006-2146
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 79031
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License Number State | WV
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