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NPI 1740844471

NPI 1740844471 : BARBARA ANN FLETCHER : BEREA, KY

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General NPI Number Information
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    NPI Number           |    1740844471
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA ANN FLETCHER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/29/2019
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    Last Update Date     |    11/27/2023
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Provider Practice Location Address
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    Address Line         |    1000 ACE DR 
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    City                 |    BEREA
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    State                |    KY
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    Zip                  |    40403-1327
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    Country              |    US
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    Telephone            |    859-756-5006
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    Fax                  |    859-985-9665
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Provider Business Mailing Address
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    Address Line         |    1022 BRANDY LN APT 53 
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    City                 |    RICHMOND
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    State                |    KY
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    Zip                  |    40475-8452
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    Country              |    US
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    Telephone            |    859-625-8456
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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