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General NPI Number Information
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NPI Number | 1730790726
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Entity Type | Individual
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Provider Name | MARIA BARRERA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 1137 HUNTINGTON DR BLDG A
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-4563
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Country | US
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Telephone | 323-344-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 12114 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90061-1323
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Country | US
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Telephone | 323-420-9786
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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 | CA
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