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General NPI Number Information
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NPI Number | 1245446814
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Entity Type | Individual
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Provider Name | JOE NINOMIYA JR. M.A., M.F.C., C.R.C.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 5329 OFFICE CENTER CT STE 228
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7419
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Country | US
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Telephone | 559-264-7967
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 82214
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City | BAKERSFIELD
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State | CA
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Zip | 93380-2214
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Country | US
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Telephone | 559-264-7967
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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 | MFC24583
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License Number State | CA
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