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General NPI Number Information
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NPI Number | 1265330369
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Entity Type | Individual
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Provider Name | JUAN MANUEL FERNANDEZ GARCIA ASW
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Gender | Male
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Dates
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Enumeration Date | 10/28/2026
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Last Update Date | 10/28/2026
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Provider Practice Location Address
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Address Line | 5580 CALLE REAL
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City | GOLETA
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State | CA
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Zip | 93111-1646
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Country | US
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Telephone | 805-617-7878
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Fax | 805-618-3157
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Provider Business Mailing Address
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Address Line | 414 E COTA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1624
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Country | US
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Telephone | 805-963-1546
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Fax | 805-324-5173
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 143113
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License Number State | CA
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