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General NPI Number Information
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NPI Number | 1922544527
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Entity Type | Organization
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Legal Business Name | PATRICIA P. BARBER PA
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 500 E SR 434 SUITE 104B
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City | LONGWOOD
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State | FL
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Zip | 32750-5222
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Country | US
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Telephone | 407-767-8854
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Fax | 407-482-4861
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Provider Business Mailing Address
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Address Line | 500 E SR 434 SUITE 104B
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City | LONGWOOD
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State | FL
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Zip | 32750-5222
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Country | US
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Telephone | 407-767-8854
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Fax | 407-482-4861
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA P. BARBER
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Credential | MSLMHC
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Telephone | 407-767-8854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH573
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License Number State | FL
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