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General NPI Number Information
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NPI Number | 1215210489
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Entity Type | Organization
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Legal Business Name | BARRERA BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 108 N JACKSON RD 8
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City | EDINBURG
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State | TX
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Zip | 78541-3692
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Country | US
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Telephone | 956-569-1619
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Fax |
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Provider Business Mailing Address
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Address Line | 729 OREGANO ST
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City | EDINBURG
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State | TX
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Zip | 78541-8064
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Country | US
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Telephone | 956-569-1619
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. IRAN BARRERA
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Credential | LCSW, PH.D
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Telephone | 956-569-1619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 50592
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License Number State | TX
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