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General NPI Number Information
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NPI Number | 1861861718
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Entity Type | Individual
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Provider Name | JANET IRENE BARRYROGERS BS, MA, LCDCS, LMHC,
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Gender | Female
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 10 ORCHARD AVENUE
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City | LINCOLN
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State | RI
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Zip | 02865-4716
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Country | US
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Telephone | 508-840-9447
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Fax | 401-728-7961
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Provider Business Mailing Address
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Address Line | 10 ORCHARD AVENUE
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City | LINCOLN
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State | RI
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Zip | 02865-4716
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Country | US
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Telephone | 508-840-9447
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Fax | 401-728-7961
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CDP00539
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 536
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | MHC00694
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 2694
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | CDS0070
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License Number State | RI
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 139805
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License Number State | RI
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