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General NPI Number Information
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NPI Number | 1144891672
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Entity Type | Organization
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Legal Business Name | FAMILY ACHIEVE THERAPY AND EDUCATION SERVICES, INC.
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 4199 CAMPUS DR STE 550
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City | IRVINE
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State | CA
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Zip | 92612-4694
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Country | US
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Telephone | 949-594-0500
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Fax | 949-594-2400
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Provider Business Mailing Address
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Address Line | 4199 CAMPUS DR STE 550
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City | IRVINE
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State | CA
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Zip | 92612-4694
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Country | US
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Telephone | 949-594-0500
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Fax | 949-594-2400
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Authorized Official
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Title or Position | CEO
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Name | SHARMEEN MAHMUD
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Credential | MFT
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Telephone | 949-594-0500
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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 |
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License Number State |
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