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General NPI Number Information
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NPI Number | 1396195301
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Entity Type | Individual
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Provider Name | SALENA BARNES RN, FNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 175 EMERY HWY
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City | MACON
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State | GA
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Zip | 31217-3692
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Country | US
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Telephone | 478-803-7600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 342
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City | MILLEDGEVILLE
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State | GA
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Zip | 31059-0342
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Country | US
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Telephone | 478-456-0241
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN192568
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN192568
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN192568
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License Number State | GA
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