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General NPI Number Information
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NPI Number | 1699308049
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Entity Type | Individual
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Provider Name | COLLETTE BARR APRDH
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Gender | Female
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 3581 W NORTHERN AVE STE 8
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City | PHOENIX
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State | AZ
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Zip | 85051-9404
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Country | US
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Telephone | 480-830-9555
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Fax | 480-499-0083
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Provider Business Mailing Address
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Address Line | 4037 E GARNET CIR
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City | MESA
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State | AZ
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Zip | 85206-3266
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Country | US
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Telephone | 480-830-9555
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | H3090
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License Number State | AZ
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