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General NPI Number Information
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NPI Number | 1992064570
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Entity Type | Individual
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Provider Name | SARA BARBER MA, LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 09/19/2014
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Provider Practice Location Address
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Address Line | 1125 6TH ST SE
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City | WILLMAR
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State | MN
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Zip | 56201-4675
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Country | US
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Telephone | 320-235-4613
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 6TH ST SE P.O. BOX 787
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City | WILLMAR
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State | MN
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Zip | 56201-4675
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Country | US
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Telephone | 320-235-4613
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC00673
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License Number State | MN
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