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NPI 1114109030

NPI 1114109030 : THOMAS VASKEN BABAYAN LMFT : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1114109030
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS VASKEN BABAYAN LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/03/2007
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    Last Update Date     |    02/28/2024
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Provider Practice Location Address
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    Address Line         |    760 WESTWOOD PLZ A8-159
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90024-5055
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    Country              |    US
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    Telephone            |    855-231-9500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5767 W CENTURY BLVD STE 400 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90045-5631
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    Country              |    US
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    Telephone            |    
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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       |    LMFT51440
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    License Number State |    CA
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