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General NPI Number Information
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NPI Number | 1639479470
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Entity Type | Individual
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Provider Name | MR. MIGUEL ANGEL MAGANA
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Gender | Male
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 1901 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2848
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Country | US
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Telephone | 661-869-1074
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Fax | 661-869-1075
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Provider Business Mailing Address
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Address Line | 1901 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2848
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Country | US
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Telephone | 661-869-1074
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Fax | 661-869-1075
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11416340
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 74892
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License Number State | CA
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