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General NPI Number Information
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NPI Number | 1497078935
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Entity Type | Individual
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Provider Name | DENAE BAROWSKY M.A., LPC
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Gender | Female
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 2399 S ORCHARD ST SUITE 203
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City | BOISE
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State | ID
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Zip | 83705-3793
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Country | US
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Telephone | 208-342-7030
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Fax |
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Provider Business Mailing Address
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Address Line | 302 E STONEWATER CT
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City | EAGLE
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State | ID
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Zip | 83616-3872
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Country | US
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Telephone | 208-891-4776
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 27-2057845
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License Number State | ID
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