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General NPI Number Information
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NPI Number | 1023149002
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Entity Type | Individual
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Provider Name | FARROKH D FATHIAN M.ED. NCC
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 7003 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-1247
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Country | US
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Telephone | 323-543-4236
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Fax | 323-344-7382
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Provider Business Mailing Address
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Address Line | 2125 MONTEVERDE DR
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City | CHINO HILLS
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State | CA
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Zip | 91709-4447
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Country | US
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Telephone | 909-591-7181
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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