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General NPI Number Information
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NPI Number | 1760972467
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Entity Type | Individual
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Provider Name | FRANCISCO JAVIER IRIBARREN MSW-PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 8383 WILSHIRE BLVD STE 800
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City | BEVERLY HILLS
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State | CA
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Zip | 90211
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Country | US
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Telephone | 323-456-8686
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Fax | 323-544-6186
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Provider Business Mailing Address
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Address Line | 440 VETERAN AVE APT 404
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City | LOS ANGELES
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State | CA
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Zip | 90024-1997
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Country | US
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Telephone | 310-430-5632
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY30012
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY30012
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License Number State | CA
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