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General NPI Number Information
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NPI Number | 1366335119
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Entity Type | Individual
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Provider Name | NADIA KHAMOO APCC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 26040 ACERO
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City | MISSION VIEJO
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State | CA
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Zip | 92691-2768
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Country | US
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Telephone | 949-229-0181
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 311
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City | TUJUNGA
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State | CA
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Zip | 91043-0311
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Country | US
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Telephone | 818-921-6265
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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 | APCC19294
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License Number State | CA
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