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General NPI Number Information
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NPI Number | 1598770257
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Entity Type | Individual
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Provider Name | BRENDA BARNES TOUSLEY MS
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Gender | Female
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2500 BRADY LAKE RD
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City | RAVENNA
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State | OH
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Zip | 44266-1610
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Country | US
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Telephone | 330-678-2400
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Fax | 330-673-3714
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Provider Business Mailing Address
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Address Line | 357 WYOGA LAKE BLVD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44224-1140
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Country | US
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Telephone | 330-678-2400
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Fax | 330-673-3714
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SP309
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License Number State | OH
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