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General NPI Number Information
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NPI Number | 1083388573
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Entity Type | Individual
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Provider Name | ANDREA BARKAN-KENNEDY AMFT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 305 E MATILIJA ST # 201F
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City | OJAI
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State | CA
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Zip | 93023-2768
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Country | US
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Telephone | 805-697-5133
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Fax |
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Provider Business Mailing Address
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Address Line | 965 SCHOONER DR UNIT 201
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City | VENTURA
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State | CA
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Zip | 93001-4323
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Country | US
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Telephone | 805-697-5133
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 116163
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License Number State | CA
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