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General NPI Number Information
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NPI Number | 1003062167
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Entity Type | Individual
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Provider Name | ISELA P. BARON LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/26/2020
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Provider Practice Location Address
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Address Line | 23791 LONE PINE DR
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City | MORENO VALLEY
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State | CA
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Zip | 92557-2946
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Country | US
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Telephone | 951-223-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 12625 FREDERICK ST STE I5 PMB#289
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City | MORENO VALLEY
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State | CA
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Zip | 92553-0714
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Country | US
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Telephone | 951-223-5101
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 52903
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License Number State | CA
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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 | LMFT52903
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License Number State | CA
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