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General NPI Number Information
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NPI Number | 1194023994
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Entity Type | Individual
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Provider Name | AFSHEEN IZADI
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Gender | Male
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3446 SONYA AVE
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City | ROSAMOND
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State | CA
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Zip | 93560-6831
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Country | US
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Telephone | 661-583-3142
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Fax | 661-793-7392
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Provider Business Mailing Address
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Address Line | 38713 TIERRA SUBIDA AVE STE 104
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City | PALMDALE
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State | CA
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Zip | 93551-4562
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Country | US
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Telephone | 661-583-3142
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Fax | 661-793-7392
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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 | 134295
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License Number State | CA
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