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General NPI Number Information
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NPI Number | 1487493441
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Entity Type | Individual
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Provider Name | KATHRYN BARKER CMT
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Gender | Female
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 85 INDUSTRIAL WAY STE J
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City | BUELLTON
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State | CA
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Zip | 93427-9563
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Country | US
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Telephone | 805-315-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 2682 QUAIL VALLEY RD
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City | SOLVANG
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State | CA
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Zip | 93463-9613
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Country | US
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Telephone | 805-315-3414
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 77042
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License Number State | CA
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