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General NPI Number Information
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NPI Number | 1457655714
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Entity Type | Individual
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Provider Name | MR. JOSEPH MARTIN GUBERMAN
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Gender | Male
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Dates
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Enumeration Date | 12/30/2010
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 4411 E KINGS CANYON RD BUILDING 319
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City | FRESNO
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State | CA
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Zip | 93702-3604
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Country | US
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Telephone | 559-453-6227
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Fax | 559-452-8901
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Provider Business Mailing Address
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Address Line | 408 TAYLOR ST APT 15
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City | BAKERSFIELD
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State | CA
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Zip | 93309-3050
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Country | US
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Telephone | 661-302-1593
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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