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General NPI Number Information
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NPI Number | 1144801010
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Entity Type | Individual
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Provider Name | IME ATTAH
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 2271 ALPINE BLVD STE A
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City | ALPINE
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State | CA
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Zip | 91901-1101
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Country | US
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Telephone | 619-448-1216
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1026
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City | LAKEWOOD
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State | CA
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Zip | 90714-1026
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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 | 117473
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License Number State | CA
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