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General NPI Number Information
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NPI Number | 1124566005
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Entity Type | Organization
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Legal Business Name | NIHAL MAKHYOUN, PHD, MFT, APA
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Dates
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Enumeration Date | 02/10/2017
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Last Update Date | 02/10/2017
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Provider Practice Location Address
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Address Line | 10506 BURBANK BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2218
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Country | US
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Telephone | 661-209-6970
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Fax | 661-251-7470
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Provider Business Mailing Address
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Address Line | 29326 HIDDEN OAK PL
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City | SANTA CLARITA
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State | CA
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Zip | 91387-5906
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Country | US
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Telephone | 661-251-7470
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Fax | 661-209-6970
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | DR. NIHAL N. MAKHYOUN
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Credential | PHD
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Telephone | 661-209-6970
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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 | MFC41005
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License Number State | CA
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