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General NPI Number Information
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NPI Number | 1932592193
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Entity Type | Individual
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Provider Name | BARRY HIRST JR. MSW
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Gender | Male
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 3717 MT. PINOS WAY
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City | FRAZIER PARK
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State | CA
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Zip | 93225
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Country | US
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Telephone | 661-245-0250
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Fax | 661-245-0252
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Provider Business Mailing Address
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Address Line | PO BOX 1559
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1559
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Country | US
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Telephone | 661-397-8775
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Fax | 661-245-0252
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | ASW 34823
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License Number State | CA
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