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General NPI Number Information
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NPI Number | 1326499039
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Entity Type | Individual
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Provider Name | JUSTIN DANIEL BARKER PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 07/14/2020
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Provider Practice Location Address
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Address Line | 5701 W SLAUSON AVE STE 140
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City | CULVER CITY
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State | CA
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Zip | 90230-6503
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Country | US
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Telephone | 424-272-1554
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Fax |
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Provider Business Mailing Address
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Address Line | 24 ROSE AVE APT C
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City | VENICE
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State | CA
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Zip | 90291-2457
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Country | US
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Telephone | 626-864-6412
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 31921
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License Number State | CA
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