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General NPI Number Information
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NPI Number | 1477194983
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Entity Type | Individual
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Provider Name | FERNANDO HUERTA-PEREZ
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Gender | Male
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Dates
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Enumeration Date | 10/06/2019
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 3105 WILSON RD
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City | BAKERSFIELD
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State | CA
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Zip | 93304-5319
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Country | US
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Telephone | 661-397-8775
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Fax | 661-397-8286
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Provider Business Mailing Address
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Address Line | 3405 WILMA CT
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City | BAKERSFIELD
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State | CA
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Zip | 93307-2560
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Country | US
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Telephone | 661-431-3970
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 9986
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 150162
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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