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General NPI Number Information
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NPI Number | 1083845564
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Entity Type | Individual
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Provider Name | BAHAREH TALEI PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2009
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 30125 AGOURA RD STE 2B
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City | AGOURA HILLS
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State | CA
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Zip | 91301-4345
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Country | US
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Telephone | 818-307-0741
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Fax | 818-394-6409
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Provider Business Mailing Address
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Address Line | 26500 AGOURA RD 102-401
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City | CALABASAS
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State | CA
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Zip | 91302-1952
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Country | US
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Telephone | 818-307-0741
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Fax | 818-394-6409
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY21252
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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