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General NPI Number Information
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NPI Number | 1215016258
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Entity Type | Individual
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Provider Name | NANCY JANE BARRON M.A., L.P.
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4500 PARK GLEN RD #150
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-4871
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Country | US
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Telephone | 612-978-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 4855 5TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55419-5642
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Country | US
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Telephone | 612-978-1400
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1907
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 699
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License Number State | MN
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