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General NPI Number Information
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NPI Number | 1609332915
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Entity Type | Individual
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Provider Name | SEAN BAREL LCSW
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Gender | Male
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 51340 HIGHWAY 97
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City | LA PINE
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State | OR
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Zip | 97739-9871
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Country | US
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Telephone | 541-322-7500
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Fax | 541-322-7565
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Provider Business Mailing Address
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Address Line | 2577 NE COURTNEY DR
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City | BEND
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State | OR
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Zip | 97701-7752
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Country | US
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Telephone | 541-322-7500
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Fax | 541-322-7565
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 20-06-14
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11508-123
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L10904
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License Number State | OR
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