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General NPI Number Information
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NPI Number | 1992859029
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Entity Type | Individual
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Provider Name | JACQUELINE O BARR FALLS MED
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 116 LILY FLAGG ROAD SW SUITE D
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City | HUNTSVILLE
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State | AL
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Zip | 35802
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Country | US
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Telephone | 256-881-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 59 RIVERBEND CIR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-8335
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Country | US
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Telephone | 256-571-0448
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Fax | 205-972-3660
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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 | 941
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 12
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License Number State | AL
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