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NPI 1457654493

NPI 1457654493 : BARNES & ASSOCIATES : MILLSBORO, DE

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General NPI Number Information
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    NPI Number           |    1457654493
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARNES & ASSOCIATES 
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Dates
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    Enumeration Date     |    12/14/2010
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    Last Update Date     |    12/14/2010
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Provider Practice Location Address
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    Address Line         |    # 6 CHELSEA SQ. 
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    City                 |    MILLSBORO
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    State                |    DE
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    Zip                  |    19966-0940
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    Country              |    US
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    Telephone            |    302-934-7807
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    Fax                  |    302-934-1313
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Provider Business Mailing Address
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    Address Line         |    PO BOX 940 
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    City                 |    MILLSBORO
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    State                |    DE
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    Zip                  |    19966-0940
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    Country              |    US
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    Telephone            |    302-934-7807
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    Fax                  |    302-934-1313
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Authorized Official
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    Title or Position    |    LICENSED CLINICAL SOCIAL WORKER
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    Name                 |    MS. ROSA C BARNES 
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    Credential           |    LCSW
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    Telephone            |    302-934-7807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    917
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    Q1-0000549
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    License Number State |    DE
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