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General NPI Number Information
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NPI Number | 1487145470
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Entity Type | Individual
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Provider Name | MS. CARA ANNE BARKER
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Gender | Female
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 59 S STATE ROUTE 157
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-3851
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Country | US
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Telephone | 618-692-8790
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Fax |
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Provider Business Mailing Address
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Address Line | 227 S PENCE ST
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City | EAST ALTON
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State | IL
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Zip | 62024-1143
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Country | US
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Telephone | 618-971-7125
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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 |
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License Number State | IL
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