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General NPI Number Information
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NPI Number | 1245390566
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Entity Type | Individual
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Provider Name | ELIZA KHANJIAN PHD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 595 E COLORADO BLVD STE 205
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City | PASADENA
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State | CA
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Zip | 91101-2028
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Country | US
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Telephone | 818-396-5343
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Fax | 818-561-3997
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | LA CANADA FLINTRIDGE
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State | CA
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Zip | 91012-0250
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Country | US
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Telephone | 818-396-5343
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Fax | 818-561-3997
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY19586
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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