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General NPI Number Information
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NPI Number | 1043866916
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Entity Type | Organization
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Legal Business Name | THERAPY TO HEAL
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 10801 NATIONAL BLVD STE 574
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City | LOS ANGELES
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State | CA
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Zip | 90064-4139
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Country | US
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Telephone | 323-206-6874
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Fax |
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Provider Business Mailing Address
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Address Line | 10801 NATIONAL BLVD STE 574
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City | LOS ANGELES
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State | CA
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Zip | 90064-4139
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Country | US
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Telephone | 323-206-6874
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NOUSHIN ZARINI VERDI
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Credential | PSYD
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Telephone | 323-206-6874
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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 |
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License Number State |
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