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General NPI Number Information
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NPI Number | 1952591588
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Entity Type | Organization
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Legal Business Name | LISA BARNES, LISW, LLC
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 2521 UNIVERSITY BLVD STE 121
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City | AMES
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State | IA
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Zip | 50010-8629
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Country | US
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Telephone | 515-268-6000
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Fax | 515-292-2184
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Provider Business Mailing Address
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Address Line | 2521 UNIVERSITY BLVD STE 121
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City | AMES
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State | IA
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Zip | 50010-8629
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Country | US
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Telephone | 515-268-6000
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Fax | 515-292-2184
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Authorized Official
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Title or Position | OWNER
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Name | MS. LISA ELLEN BARNES
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Credential | LISW
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Telephone | 515-268-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 06808
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License Number State | IA
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