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General NPI Number Information
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NPI Number | 1235017211
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Entity Type | Individual
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Provider Name | JOHN BARR
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Gender | Male
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Dates
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Enumeration Date | 08/26/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 170 S 1000 E STE 201
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City | SALT LAKE CITY
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State | UT
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Zip | 84102-1403
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Country | US
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Telephone | 801-419-0139
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Fax |
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Provider Business Mailing Address
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Address Line | 357 J ST
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City | SALT LAKE CITY
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State | UT
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Zip | 84103-3145
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Country | US
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Telephone | 512-569-0149
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 14239661-2504
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License Number State | UT
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