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General NPI Number Information
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NPI Number | 1114395191
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Entity Type | Individual
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Provider Name | TIA BARNESLEWIS AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/09/2015
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 4368 LINCOLN AVE
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City | OAKLAND
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State | CA
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Zip | 94602-2529
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Country | US
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Telephone | 510-531-3111
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Fax | 510-530-8083
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Provider Business Mailing Address
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Address Line | 20993 FOOTHILL BLVD
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City | CHERRYLAND
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State | CA
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Zip | 94541-1511
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Country | US
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Telephone | 510-545-2834
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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 |
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License Number State | CA
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