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General NPI Number Information
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NPI Number | 1700424041
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Entity Type | Individual
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Provider Name | JOSHUA AARON BARNES J.D., L.C.S.W.
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Gender | Male
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1033 BALDY MOUNTAIN RD
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City | SANDPOINT
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State | ID
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Zip | 83864-9202
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Country | US
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Telephone | 208-920-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 2023 SANDPOINT WEST DR
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City | SANDPOINT
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State | ID
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Zip | 83864-7304
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Country | US
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Telephone | 208-265-5412
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Fax | 208-263-2278
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | MSW-39263
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW42454
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License Number State | ID
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