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General NPI Number Information
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NPI Number | 1053197632
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Entity Type | Individual
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Provider Name | SEHER Y. BAJWA
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Gender | Female
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 301 N PRAIRIE AVE STE 510
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City | INGLEWOOD
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State | CA
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Zip | 90301-4512
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Country | US
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Telephone | 310-258-9677
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Fax | 310-258-9650
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Provider Business Mailing Address
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Address Line | PO BOX 451322
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City | LOS ANGELES
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State | CA
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Zip | 90045-8514
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Country | US
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Telephone | 213-419-0899
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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 | 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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