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General NPI Number Information
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NPI Number | 1689162158
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Entity Type | Organization
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Legal Business Name | BARBARA KEOWN, INC.
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Dates
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Enumeration Date | 04/30/2018
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 2127 EXECUTIVE PARK DR
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City | OPELIKA
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State | AL
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Zip | 36801-6041
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Country | US
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Telephone | 334-707-6929
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Fax |
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Provider Business Mailing Address
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Address Line | 525 HERITAGE CT
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City | AUBURN
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State | AL
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Zip | 36830-3865
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Country | US
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Telephone | 334-707-6929
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | BARBARA KEOWN
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Credential | PH.D., LPC
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Telephone | 334-707-6929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 1400
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License Number State | AL
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