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General NPI Number Information
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NPI Number | 1285496356
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Entity Type | Organization
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Legal Business Name | SEAL BEACH COUNSELING INC
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 909 ELECTRIC AVE STE 308
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City | SEAL BEACH
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State | CA
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Zip | 90740-8903
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Country | US
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Telephone | 714-797-5445
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Fax | 213-355-6231
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Provider Business Mailing Address
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Address Line | 909 ELECTRIC AVE STE 308
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City | SEAL BEACH
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State | CA
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Zip | 90740-8903
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Country | US
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Telephone | 714-797-5445
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Fax | 213-355-6231
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | ALI REZA ZANDI
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Credential | MA
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Telephone | 714-797-5445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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