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General NPI Number Information
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NPI Number | 1164835179
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Entity Type | Organization
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Legal Business Name | HOLLY BARNARD, PH.D., LLC
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 7577 CENTRAL PARKE BLVD SUITE 109
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City | MASON
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State | OH
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Zip | 45040-6810
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Country | US
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Telephone | 303-524-5552
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Fax |
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Provider Business Mailing Address
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Address Line | 7577 CENTRAL PARKE BLVD SUITE 109
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City | MASON
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State | OH
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Zip | 45040-6810
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NEUROPSYCHOLOGIST
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Name | HOLLY BARNARD
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Credential | PH.D.
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Telephone | 303-524-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6816
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6816
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 6816
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6816
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License Number State | OH
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