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General NPI Number Information
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NPI Number | 1245026582
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Entity Type | Individual
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Provider Name | FARSHID GHAVASIYEH THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 9501 W SAHARA AVE APT 2041
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City | LAS VEGAS
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State | NV
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Zip | 89117-5323
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Country | US
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Telephone | 310-614-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 9501 W SAHARA AVE APT 2041
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City | LAS VEGAS
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State | NV
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Zip | 89117-5323
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Country | US
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Telephone | 310-614-4400
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | G73-02107
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License Number State | NV
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