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NPI 1073317269

NPI 1073317269 : ADRIAN ZANDI PSYD : ANTIOCH, CA

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General NPI Number Information
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    NPI Number           |    1073317269
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    Entity Type          |    Individual 
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    Provider Name        |    ADRIAN ZANDI PSYD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2025
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    Last Update Date     |    04/04/2025
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Provider Practice Location Address
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    Address Line         |    4730 STERLING HILL DR 
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    City                 |    ANTIOCH
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    State                |    CA
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    Zip                  |    94531-7673
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    Country              |    US
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    Telephone            |    925-779-7460
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    510 G ST 
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    City                 |    ANTIOCH
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    State                |    CA
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    Zip                  |    94509-1259
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    Country              |    US
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    Telephone            |    925-779-7500
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    230276817
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    License Number State |    CA
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