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General NPI Number Information
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NPI Number | 1891833356
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Entity Type | Individual
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Provider Name | ALAN MARK PEVAR MFT
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Gender | Male
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Dates
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Enumeration Date | 02/04/2007
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 5301 OFFICE PARK DR STE 225
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0666
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Country | US
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Telephone | 661-322-4000
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Fax | 661-873-9314
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Provider Business Mailing Address
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Address Line | 8200 STOCKDALE HWY STE M10 #188
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City | BAKERSFIELD
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State | CA
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Zip | 93311-1029
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Country | US
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Telephone | 661-322-4000
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Fax | 661-873-9314
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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 | MFC16538
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License Number State | CA
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