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General NPI Number Information
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NPI Number | 1245191840
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Entity Type | Individual
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Provider Name | KAILI SAMANTHA FARHAT ACSW
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Gender | Female
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 2659 TOWNSGATE RD STE 218
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2711
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Country | US
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Telephone | 805-409-7290
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Fax |
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Provider Business Mailing Address
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Address Line | 22647 VENTURA BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1416
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Country | US
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Telephone | 805-265-3925
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 134983
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License Number State | CA
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