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General NPI Number Information
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NPI Number | 1124223623
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Entity Type | Individual
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Provider Name | ROLAND N VALLERAND MFT
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Gender | Male
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4900 CALIFORNIA AVE TOWERA SUITE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7024
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Country | US
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Telephone | 661-852-2715
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Fax | 661-852-2877
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Provider Business Mailing Address
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Address Line | 2235 SUNSET AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93304-1133
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Country | US
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Telephone | 661-322-1528
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Fax | 661-852-2877
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | MFC19211
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License Number State | CA
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