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General NPI Number Information
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NPI Number | 1972604833
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Entity Type | Individual
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Provider Name | ANGELA RACHELLE BARNES M.S. CCC/SLP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 11 HUNT CLUB PLZ STE 102
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City | RIDGELEY
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State | WV
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Zip | 26753-5213
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Country | US
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Telephone | 304-738-2366
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Fax | 304-738-2210
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Provider Business Mailing Address
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Address Line | 11 HUNT CLUB PLZ STE 102
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City | RIDGELEY
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State | WV
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Zip | 26753-5213
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Country | US
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Telephone | 304-738-2366
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Fax | 304-738-2210
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP-0979
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 05102
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2202004847
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License Number State | VA
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