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General NPI Number Information
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NPI Number | 1225101520
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Entity Type | Individual
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Provider Name | BARTON C GROW MA, NCC, LCPC, MISA
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 311 MAPLETON AVE
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City | BOULDER
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State | CO
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Zip | 80304-3979
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Country | US
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Telephone | 303-441-2127
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 JUNIPER AVE APT. 61
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City | BOULDER
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State | CO
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Zip | 80304-2445
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Country | US
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Telephone | 815-501-0640
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3851
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | IL
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