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General NPI Number Information
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NPI Number | 1164904298
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Entity Type | Individual
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Provider Name | BAHAR RAHNAMA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 11835 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90064-5001
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Country | US
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Telephone | 424-284-8910
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Fax |
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Provider Business Mailing Address
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Address Line | 2275 CENTURY HL
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City | LOS ANGELES
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State | CA
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Zip | 90067-3506
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Country | US
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Telephone | 310-892-3887
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY32790
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State | CA
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