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General NPI Number Information
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NPI Number | 1871486811
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Entity Type | Individual
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Provider Name | BETTY JANE BARRETT
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 5080 SPECTRUM DR STE 1100E
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City | ADDISON
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State | TX
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Zip | 75001-4688
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Country | US
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Telephone | 844-676-9374
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Fax |
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Provider Business Mailing Address
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Address Line | 21 FORBES PL
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City | EAST HAVEN
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State | CT
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Zip | 06512-2226
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Country | US
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Telephone | 203-815-5642
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State | CT
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