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NPI Code Detail

MEDICARE: DIAN BARKAN

MEDICARE: DIAN BARKAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS14622CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1049844OTHERCAPROVIDER #

General Provider Information

NPI Number : 1679675482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIAN BARKAN
Provider Business Mailing Address
First Line : 825 COLLEGE AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-4108
Country : US
Telephone Number : 707-579-8044
Fax Number :
Provider Business Practice Location Address
First Line : 825 COLLEGE AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95404-4108
Country : US
Telephone Number : 707-579-8044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 07/08/2007

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Directions to “ DIAN BARKAN ” Practice Location

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