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General NPI Number Information
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NPI Number | 1689284648
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Entity Type | Individual
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Provider Name | STEPHANIE BARNES
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Gender | Female
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 464 S HAWKINS AVE # 100
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City | AKRON
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State | OH
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Zip | 44320-1228
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Country | US
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Telephone | 330-592-1128
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Fax |
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Provider Business Mailing Address
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Address Line | 113 W MIDDLE ST
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City | BURBANK
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State | OH
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Zip | 44214-9777
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Country | US
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Telephone | 330-592-1128
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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