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General NPI Number Information
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NPI Number | 1346074507
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Entity Type | Individual
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Provider Name | FREIYA BHARUCHA
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Gender | Female
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Dates
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Enumeration Date | 08/29/2024
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1300 E SHAW AVE STE 130
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City | FRESNO
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State | CA
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Zip | 93710-7903
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Country | US
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Telephone | 559-338-7923
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Fax | 350-333-1192
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Provider Business Mailing Address
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Address Line | 2116 ARLINGTON AVE STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90018-1300
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Country | US
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Telephone | 408-333-5361
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Fax | 323-334-4437
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC20182
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License Number State | CA
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