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General NPI Number Information
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NPI Number | 1053867341
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Entity Type | Individual
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Provider Name | HERNAN E BARENBOIM PHD, LMFT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 301 N SAN JACINTO ST
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City | HEMET
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State | CA
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Zip | 92543-3119
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Country | US
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Telephone | 951-766-6460
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 858 MC CA410
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City | HERSHEY
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State | PA
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Zip | 17033-0858
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Country | US
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Telephone | 800-243-1455
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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 | 1215
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License Number State | WI
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