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Individual
MARY BARNES
Active
Individual
MARY BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
185
SC
133V00000X
Registered Dietitian
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00708609
RR MEDICARE
SC
01
—
Q347996066
MEDICARE PIN
SC
Enumeration date
02/25/2008
Last updated
11/06/2018
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