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General NPI Number Information
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NPI Number | 1316494875
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Entity Type | Individual
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Provider Name | AARON TYLOR BARNES PSYD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 4501 N CHARLES ST COUNSELING CENTER, HU150
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City | BALTIMORE
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State | MD
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Zip | 21210-2601
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Country | US
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Telephone | 443-990-1758
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 RUECKERT AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-2919
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Country | US
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Telephone | 559-859-1081
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 05806
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License Number State | MD
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