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General NPI Number Information
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NPI Number | 1235137076
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Entity Type | Individual
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Provider Name | BARBARA CLARE MS, LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 16180 HASTINGS AVE SE STE 205
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City | PRIOR LAKE
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State | MN
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Zip | 55372
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Country | US
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Telephone | 952-443-4600
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Fax | 952-443-4604
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Provider Business Mailing Address
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Address Line | PO BOX 51
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City | VICTORIA
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State | MN
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Zip | 55386-0051
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Country | US
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Telephone | 952-443-4600
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Fax | 952-443-4604
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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 | 884
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License Number State | MN
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