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General NPI Number Information
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NPI Number | 1619850286
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Entity Type | Individual
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Provider Name | DAKOTA BARRETT LCSW
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Gender | Male
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1055 DOVE RUN RD STE 219
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City | LEXINGTON
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State | KY
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Zip | 40502-3585
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Country | US
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Telephone | 606-391-7954
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Fax |
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Provider Business Mailing Address
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Address Line | 817 W HIGH ST APT 2B
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City | LEXINGTON
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State | KY
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Zip | 40508-2542
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW00001055
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License Number State | KY
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