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General NPI Number Information
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NPI Number | 1326461328
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Entity Type | Individual
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Provider Name | ADREANNA BARTHOLOME SPEARS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 8001 MAGNOLIA RIDGE CT UNIT 203
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City | LOUISVILLE
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State | KY
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Zip | 40291-6768
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Country | US
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Telephone | 502-439-3412
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Fax | 502-365-2241
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Provider Business Mailing Address
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Address Line | 8001 MAGNOLIA RIDGE CT UNIT 203
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City | LOUISVILLE
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State | KY
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Zip | 40291-6768
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Country | US
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Telephone | 502-439-3412
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Fax | 502-365-2241
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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 | KY-1607
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License Number State | KY
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