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NPI 1679130579

NPI 1679130579 : CAMERON BARNDT : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1679130579
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    Entity Type          |    Individual 
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    Provider Name        |    CAMERON BARNDT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/26/2019
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    Last Update Date     |    11/12/2024
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Provider Practice Location Address
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    Address Line         |    9901 W IH 10 STE 775 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-1781
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    Country              |    US
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    Telephone            |    210-957-1668
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21600 OXNARD ST STE 1800 
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    City                 |    WOODLAND HILLS
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    State                |    CA
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    Zip                  |    91367-7807
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    Country              |    US
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    Telephone            |    818-345-2345
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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        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    205690
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    License Number State |    TX
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