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General NPI Number Information
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NPI Number | 1467079525
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Entity Type | Individual
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Provider Name | GWENDOLYN SPENCER BARNHART PH.D., M.S., M.A
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Gender | Female
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 607 DIVISION ST.
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City | NOME
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State | AK
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Zip | 99762
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Country | US
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Telephone | 907-443-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 607 DIVISION ST.
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City | NOME
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State | AK
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Zip | 99762
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61254557
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY61265998
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License Number State | WA
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