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General NPI Number Information
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NPI Number | 1720870991
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Entity Type | Individual
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Provider Name | MICHELLE BARKDULL PPS
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 18213 SYMERON RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-4537
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Country | US
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Telephone | 760-242-3441
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Fax |
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Provider Business Mailing Address
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Address Line | 12555 NAVAJO RD
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City | APPLE VALLEY
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State | CA
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Zip | 92308-7256
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Country | US
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Telephone | 760-247-8001
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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