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General NPI Number Information
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NPI Number | 1285214254
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Entity Type | Individual
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Provider Name | BARBARA LYNN KANGAS
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Gender | Female
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 1669 NELSON RD APT 4
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-3000
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Country | US
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Telephone | 408-771-2890
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Fax |
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Provider Business Mailing Address
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Address Line | 1669 NELSON RD APT 4
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City | SCOTTS VALLEY
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State | CA
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Zip | 95066-3000
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Country | US
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Telephone | 408-771-2890
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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