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General NPI Number Information
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NPI Number | 1528192184
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Entity Type | Individual
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Provider Name | JENNIFER LYNN BARRON PHD
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1278 GLENNEYRE STREET SUITE 30
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City | LAGUNA BEACH
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State | CA
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Zip | 92651
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Country | US
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Telephone | 949-494-6217
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Fax | 949-494-8580
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Provider Business Mailing Address
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Address Line | 1047 DIDRIKSON WAY
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City | LAGUNA BEACH
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State | CA
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Zip | 92651
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Country | US
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Telephone | 949-494-6217
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Fax | 949-494-8580
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY8972
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License Number State | CA
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