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General NPI Number Information
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NPI Number | 1811906191
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Entity Type | Individual
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Provider Name | JILLIAN G BARRETT PH.D.
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 4165 BLACKHAWK PLAZA CIR SUITE 100
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City | DANVILLE
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State | CA
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Zip | 94506-4904
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Country | US
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Telephone | 925-918-0113
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Fax | 925-831-9952
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Provider Business Mailing Address
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Address Line | 4165 BLACKHAWK PLAZA CIR SUITE #100
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City | DANVILLE
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State | CA
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Zip | 94506-4904
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Country | US
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Telephone | 925-918-0113
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Fax | 925-831-9952
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU 1970
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License Number State | CA
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