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General NPI Number Information
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NPI Number | 1023413390
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Entity Type | Individual
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Provider Name | NARIS KESHESHE
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 10/16/2020
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Provider Practice Location Address
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Address Line | 237 N CENTRAL AVE
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City | GLENDALE
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State | CA
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Zip | 91203-2531
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Country | US
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Telephone | 818-547-9544
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Fax | 818-549-9041
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Provider Business Mailing Address
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Address Line | 800 S SANTA ANITA AVE
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City | ARCADIA
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State | CA
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Zip | 91006-3536
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Country | US
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Telephone | 626-254-5000
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Fax | 626-294-1079
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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 | D2063516
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | D2063516
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 121649
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License Number State | CA
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