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General NPI Number Information
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NPI Number | 1124183561
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Entity Type | Individual
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Provider Name | MIRIAM HAMIDEH PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | 31194 LA BAYA DR STE 201
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-6431
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Country | US
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Telephone | 747-222-7464
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Fax | 310-919-3755
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Provider Business Mailing Address
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Address Line | 31194 LA BAYA DR STE 201
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-6431
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Country | US
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Telephone | 805-797-7875
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Fax | 310-919-3755
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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 | PSY17320
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY17320
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License Number State | CA
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