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General NPI Number Information
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NPI Number | 1205728854
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Entity Type | Individual
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Provider Name | STEPHANIE BARNER RD
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Gender | Female
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 1001 N PROVIDENCE DR
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City | NEWBERG
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State | OR
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Zip | 97132-7485
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Country | US
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Telephone | 503-537-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 5741 BASIL ST NE
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City | SALEM
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State | OR
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Zip | 97317-3322
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Country | US
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Telephone | 503-856-4960
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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