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General NPI Number Information
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NPI Number | 1730224346
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Entity Type | Individual
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Provider Name | DIANE MARIE BARNES LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 276 5TH AVE SUITE 307A
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 212-587-7618
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Fax | 212-587-7619
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Provider Business Mailing Address
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Address Line | 470 STATE ST
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City | BROOKLYN
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State | NY
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Zip | 11217-1853
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Country | US
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Telephone | 212-995-5673
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Fax | 212-587-7619
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R044135-1
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License Number State | NY
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