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General NPI Number Information
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NPI Number | 1992166979
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Entity Type | Organization
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Legal Business Name | JENNIFER GARBARINO, PH.D.
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 26621 CARMEL CENTER PL SUITE 202
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City | CARMEL
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State | CA
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Zip | 93923-8657
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Country | US
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Telephone | 831-236-2516
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Fax | 831-626-4466
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Provider Business Mailing Address
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Address Line | 26621 CARMEL CENTER PL SUITE 202
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City | CARMEL
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State | CA
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Zip | 93923-8657
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Country | US
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Telephone | 831-236-2516
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Fax | 831-626-4466
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER JOAN GARBARINO
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Credential | PH.D.
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Telephone | 831-236-2516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PSY17615
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License Number State | CA
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