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General NPI Number Information
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NPI Number | 1790107431
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Entity Type | Organization
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Legal Business Name | RICHARD H BARRETT, II, PLC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 211 N 34TH ST
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City | ROGERS
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State | AR
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Zip | 72756-0352
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Country | US
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Telephone | 479-561-3144
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Fax | 866-988-3317
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Provider Business Mailing Address
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Address Line | 211 N 34TH ST
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City | ROGERS
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State | AR
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Zip | 72756-0352
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Country | US
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Telephone | 479-561-3144
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Fax | 866-988-3317
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AMY BARRETT
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Credential |
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Telephone | 479-561-3144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 97-13P
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License Number State | AR
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