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General NPI Number Information
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NPI Number | 1578903860
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Entity Type | Individual
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Provider Name | MR. FRANCISCO DANIEL FERNANDEZ
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Gender | Male
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 5284 ADOLFO RD STE 100
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City | CAMARILLO
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State | CA
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Zip | 93012-6790
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Country | US
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Telephone | 805-289-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 2335 EAGLE CREEK LN
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City | OXNARD
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State | CA
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Zip | 93036-7771
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Country | US
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Telephone | 805-814-0290
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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 | 79905
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License Number State | CA
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Taxonomy #2
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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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