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General NPI Number Information
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NPI Number | 1790197580
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Entity Type | Individual
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Provider Name | LINDEN FARRAR BERRY MFT (CA, 39,499)
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Gender | Female
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 275 MILLER AVENUE
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City | MILL VALLEY
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State | CA
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Zip | 94941
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Country | US
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Telephone | 415-606-9793
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2018
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City | BIGFORK
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State | MT
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Zip | 59911
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Country | US
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Telephone | 415-606-9793
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 39,499
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License Number State | CA
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