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General NPI Number Information
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NPI Number | 1700409174
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Entity Type | Individual
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Provider Name | WALTER LANCE CURTIS LMFT
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Gender | Male
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 3801 BUCK OWENS BLVD STE 105
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City | BAKERSFIELD
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State | CA
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Zip | 93308-4958
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Country | US
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Telephone | 661-325-4357
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Fax | 661-325-4345
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Provider Business Mailing Address
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Address Line | 8200 KROLL WAY APT 227
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City | BAKERSFIELD
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State | CA
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Zip | 93311-1112
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Country | US
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Telephone | 818-917-7867
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Fax | 661-325-4345
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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 | 114635
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License Number State | CA
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