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General NPI Number Information
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NPI Number | 1184123879
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Entity Type | Individual
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Provider Name | BRYCE COLVARD
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Gender | Female
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 130 N GARDEN ST UNIT 1304
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City | VENTURA
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State | CA
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Zip | 93001-2556
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Country | US
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Telephone | 928-607-3279
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Fax |
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Provider Business Mailing Address
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Address Line | 130 N GARDEN ST UNIT 1304
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City | VENTURA
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State | CA
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Zip | 93001-2556
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Country | US
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Telephone | 928-607-3279
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | D08358190
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 149755
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License Number State | CA
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