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General NPI Number Information
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NPI Number | 1871086132
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Entity Type | Individual
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Provider Name | LYNNAIRE BARNETT MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 06/12/2018
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Last Update Date | 06/12/2018
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Provider Practice Location Address
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Address Line | 28807 8 MILE RD STE 102
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City | LIVONIA
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State | MI
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Zip | 48152-2080
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Country | US
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Telephone | 248-471-5550
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Fax | 248-471-5556
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Provider Business Mailing Address
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Address Line | 18445 WISCONSIN ST
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City | DETROIT
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State | MI
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Zip | 48221-2068
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Country | US
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Telephone | 313-704-3833
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | MI
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