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General NPI Number Information
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NPI Number | 1376250175
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Entity Type | Individual
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Provider Name | ALBERT POGHOSYAN LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 11811 1/2 DARLENE LN
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City | MOORPARK
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State | CA
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Zip | 93021-1020
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Country | US
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Telephone | 818-588-5818
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Fax |
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Provider Business Mailing Address
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Address Line | 15839 GAULT ST
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City | VAN NUYS
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State | CA
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Zip | 91406-5152
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Country | US
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Telephone | 818-913-5404
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT120562
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License Number State | CA
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