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General NPI Number Information
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NPI Number | 1336736990
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Entity Type | Individual
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Provider Name | BARAN SCH. KAMYAB
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Gender | Female
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Dates
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Enumeration Date | 12/29/2020
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 70 EVERETT AVE STE 515
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City | CHELSEA
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State | MA
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Zip | 02150-2363
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Country | US
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Telephone | 617-466-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 22315 ERWIN ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-1820
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Country | US
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Telephone | 818-699-2852
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10001040
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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