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General NPI Number Information
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NPI Number | 1902983976
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Entity Type | Individual
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Provider Name | MARY THERESE BARRETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 231 E 9TH AVE STE 1A
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City | LONGMONT
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State | CO
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Zip | 80504-4687
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Country | US
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Telephone | 303-651-2800
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Fax | 303-774-9100
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Provider Business Mailing Address
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Address Line | 231 E 9TH AVE
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City | LONGMONT
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State | CO
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Zip | 80504-4686
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Country | US
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Telephone | 303-651-2800
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Fax | 303-774-9100
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01074809B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 12641
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | CDRH.0029546
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 29546
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD16855
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License Number State | RI
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