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General NPI Number Information
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NPI Number | 1366904518
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Entity Type | Individual
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Provider Name | AMESHA BARNES
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1317 26TH AVE STE 306
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City | GULFPORT
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State | MS
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Zip | 39501-1951
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Country | US
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Telephone | 228-343-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 1317 26TH AVE STE 306
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City | GULFPORT
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State | MS
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Zip | 39501-1951
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Country | US
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Telephone | 228-343-3306
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | BP-04-2024-00091
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License Number State | MS
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