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General NPI Number Information
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NPI Number | 1467081174
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Entity Type | Individual
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Provider Name | KEYONA HOPE BARRETT
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Gender | Female
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 04/04/2020
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Provider Practice Location Address
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Address Line | 1906 E NC HIGHWAY 54 STE 100C
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City | DURHAM
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State | NC
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Zip | 27713-2284
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Country | US
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Telephone | 919-886-6056
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Fax |
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Provider Business Mailing Address
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Address Line | 6716 BARTON CREEK DR
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City | WHITSETT
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State | NC
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Zip | 27377-9281
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Country | US
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Telephone | 336-417-1958
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P014068
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License Number State | NC
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