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General NPI Number Information
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NPI Number | 1336563998
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Entity Type | Individual
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Provider Name | SHAYNELLE BORDLEY-BARNES M.A.
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Gender | Female
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 2501 MARION BARRY AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20020-3011
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Country | US
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Telephone | 302-656-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 625 N ORANGE ST
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City | WILMINGTON
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State | DE
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Zip | 19801-2296
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Country | US
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Telephone | 302-656-3439
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PRC15293
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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