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General NPI Number Information
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NPI Number | 1104154350
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Entity Type | Individual
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Provider Name | BARBARA PEARL STARK PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 1247 10TH ST 4
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City | SANTA MONICA
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State | CA
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Zip | 90401-1944
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Country | US
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Telephone | 310-394-1095
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Fax | 310-394-8930
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Provider Business Mailing Address
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Address Line | 825 WILSHIRE BLVD 710
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City | SANTA MONICA
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State | CA
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Zip | 90401-1809
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Country | US
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Telephone | 805-452-6479
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Fax | 310-394-8930
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY12764
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License Number State | CA
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