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General NPI Number Information
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NPI Number | 1114177003
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Entity Type | Individual
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Provider Name | SAHAIR KABOLI-MONFARED LPC
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Gender | Female
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 10721 MAIN ST STE 203
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City | FAIRFAX
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State | VA
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Zip | 22030-6902
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Country | US
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Telephone | 703-831-2040
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Fax | 571-307-5494
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Provider Business Mailing Address
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Address Line | 10721 MAIN ST STE 203
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City | FAIRFAX
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State | VA
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Zip | 22030-6902
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Country | US
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Telephone | 703-831-2040
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Fax | 571-307-5494
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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 | PSY1000829
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004621
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 05304
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License Number State | DC
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