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General NPI Number Information
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NPI Number | 1336920115
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Entity Type | Organization
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Legal Business Name | ASHA INC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 1081 WESTWOOD BLVD STE 221
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City | LOS ANGELES
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State | CA
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Zip | 90024-2925
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Country | US
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Telephone | 424-209-7565
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Fax |
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Provider Business Mailing Address
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Address Line | 2355 WESTWOOD BLVD # 116
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 424-209-7565
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAROSH MOTIVALA
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Credential | PHD
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Telephone | 424-209-7565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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