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General NPI Number Information
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NPI Number | 1992734719
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Entity Type | Individual
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Provider Name | JENNIFER LYNN BARRETT MPT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 16560 WEDGE PKWY SUITE 200A
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City | RENO
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State | NV
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Zip | 89511-3318
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Country | US
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Telephone | 775-384-1400
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Fax | 775-384-1367
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Provider Business Mailing Address
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Address Line | 16560 WEDGE PKWY SUITE 200 A
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City | RENO
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State | NV
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Zip | 89511-3318
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Country | US
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Telephone | 775-384-1400
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Fax | 775-384-1367
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT27806
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2559
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27806
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License Number State | CA
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