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General NPI Number Information
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NPI Number | 1376150557
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Entity Type | Individual
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Provider Name | JENNA LAUREN BARCELONA MS, L-SLP, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 13909 FLORIDA BLVD
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City | LIVINGSTON
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State | LA
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Zip | 70754-6340
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Country | US
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Telephone | 225-695-3997
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Fax |
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Provider Business Mailing Address
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Address Line | 6810 JEFFERSON HWY APT 10102
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City | BATON ROUGE
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State | LA
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Zip | 70806-8190
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Country | US
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Telephone | 985-237-8552
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 8093
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License Number State | LA
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