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General NPI Number Information
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NPI Number | 1649435306
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Entity Type | Organization
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Legal Business Name | JAMES M. BARRY, MSW, LCSW, INC.
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 2018 FORT BRAGG RD SUITE 114A
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-7037
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Country | US
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Telephone | 910-485-0940
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Fax | 910-323-6030
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Provider Business Mailing Address
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Address Line | PO BOX 9728
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-9091
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Country | US
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Telephone | 910-485-0940
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES M BARRY
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Credential | MSW, LCSW
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Telephone | 910-485-0940
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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 | C000674
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License Number State | NC
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