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General NPI Number Information
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NPI Number | 1639659956
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Entity Type | Individual
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Provider Name | JODI BARNETT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 631 LAKEVIEW BLVD
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4017
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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Provider Business Mailing Address
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Address Line | PO BOX 392552
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City | PITTSBURGH
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State | PA
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Zip | 15251-9552
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Country | US
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Telephone | 512-575-8028
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 71008194A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1141560
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License Number State | TX
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