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General NPI Number Information
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NPI Number | 1891026670
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Entity Type | Individual
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Provider Name | PATRICIA BARRET
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Gender | Female
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 914 MISSION AVE 3RD FLOOR
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City | SAN RAFAEL
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State | CA
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Zip | 94901-6106
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Country | US
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Telephone | 415-457-6964
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Fax |
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Provider Business Mailing Address
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Address Line | 1630 KARAS LN
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City | SANTA ROSA
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State | CA
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Zip | 95401-3788
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Country | US
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Telephone | 707-236-0661
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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