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General NPI Number Information
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NPI Number | 1932742210
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Entity Type | Individual
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Provider Name | TIMOTHY JOSEPH BARNES PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/19/2019
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 1617 EVANS AVE APT 1
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City | CHEYENNE
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State | WY
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Zip | 82001-4698
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Country | US
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Telephone | 307-224-2484
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Fax | 307-222-7784
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Provider Business Mailing Address
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Address Line | 1300 E A ST STE 101
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City | CASPER
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State | WY
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Zip | 82601-2211
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Country | US
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Telephone | 307-224-2484
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Fax | 307-222-7784
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 44827
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License Number State | WY
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