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General NPI Number Information
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NPI Number | 1104961218
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Entity Type | Individual
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Provider Name | GITA MOHEBBI MFT INTERN
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 100 E WARDLOW RD
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City | LONG BEACH
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State | CA
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Zip | 90807-4417
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Country | US
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Telephone | 310-508-5815
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Fax |
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Provider Business Mailing Address
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Address Line | 6868 LOS VERDES DR #2
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5672
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Country | US
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Telephone | 310-508-5815
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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