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General NPI Number Information
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NPI Number | 1558143438
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Entity Type | Individual
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Provider Name | AMANDA BARBARA DURAN MFT
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 6800 INDIANA AVE STE 130
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City | RIVERSIDE
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State | CA
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Zip | 92506-4266
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Country | US
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Telephone | 951-217-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 BEAUMONT AVE STE A2-212
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City | BEAUMONT
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State | CA
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Zip | 92223-6820
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Country | US
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Telephone | 951-880-7365
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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 | 142032
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License Number State | CA
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