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General NPI Number Information
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NPI Number | 1649165341
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Entity Type | Individual
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Provider Name | LAUREL THERESE BARNARD DPT
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 101 11TH AVE S STE 155
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City | NAMPA
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State | ID
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Zip | 83651-3946
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Country | US
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Telephone | 208-466-1077
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Fax |
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Provider Business Mailing Address
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Address Line | 5725 E MILAM ST
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City | NAMPA
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State | ID
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Zip | 83687-1086
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Country | US
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Telephone | 303-907-8994
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9171163
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License Number State | ID
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