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General NPI Number Information
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NPI Number | 1265811509
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Entity Type | Individual
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Provider Name | CRYSTAL ANNETTE PEREIRA LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 11/13/2020
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Provider Practice Location Address
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Address Line | 1430 TRUXTUN AVE FLOOR 5
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City | BAKERSFIELD
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State | CA
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Zip | 93301-5246
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Country | US
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Telephone | 661-665-6077
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 42171
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City | BAKERSFIELD
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State | CA
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Zip | 93384-2171
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Country | US
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Telephone | 661-319-1832
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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 | IMF85762
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License Number State | CA
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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 | LMFT119392
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License Number State | CA
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