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General NPI Number Information
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NPI Number | 1306400049
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Entity Type | Organization
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Legal Business Name | NARGESS FASSIH
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 4199 CAMPUS DR STE 550
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City | IRVINE
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State | CA
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Zip | 92612-4694
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Country | US
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Telephone | 714-698-9443
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 CAPRI LN
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City | COSTA MESA
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State | CA
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Zip | 92626-3501
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Country | US
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Telephone | 310-387-0655
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MS. NARGESS FASSIH
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Credential | MFT
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Telephone | 310-387-0655
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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 |
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License Number State |
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