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General NPI Number Information
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NPI Number | 1750663332
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Entity Type | Individual
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Provider Name | EILEEN M BARRON PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3939 W RIDGE RD STE B43
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City | ERIE
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State | PA
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Zip | 16506-1882
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Country | US
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Telephone | 814-459-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 300 OLD MILL RD
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City | ERIE
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State | PA
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Zip | 16505-1031
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Country | US
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Telephone | 814-835-2024
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Fax | 814-835-2024
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PS017072
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License Number State | PA
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