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General NPI Number Information
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NPI Number | 1184969800
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Entity Type | Individual
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Provider Name | ANNIE P BARNES MA
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Gender | Female
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 6302 13TH AVE
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City | LUCERNE
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State | CA
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Zip | 95458-6302
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Country | US
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Telephone | 707-274-9101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 479
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City | UPPER LAKE
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State | CA
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Zip | 95485-0479
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Country | US
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Telephone | 707-274-9251
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Fax | 707-274-9121
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF 52792
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License Number State | CA
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