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General NPI Number Information
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NPI Number | 1346964970
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Entity Type | Individual
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Provider Name | TINA JAVIDI
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Gender | Female
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 1359 E LASSEN AVE
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City | CHICO
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State | CA
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Zip | 95973-7824
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Country | US
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Telephone | 230-230-9230
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Fax | 530-466-3154
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Provider Business Mailing Address
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Address Line | 5115 B AVENUE PL
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City | KEARNEY
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State | NE
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Zip | 68847-8563
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Country | US
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Telephone |
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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 | 21730
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License Number State | CA
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