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General NPI Number Information
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NPI Number | 1376687806
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Entity Type | Individual
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Provider Name | YVETTE BAHARYANS MFT
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Gender | Female
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Dates
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Enumeration Date | 02/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 66 HURLBUT
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City | PASADENA
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State | CA
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Zip | 91105
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Country | US
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Telephone | 626-441-4221
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 N COLUMBUS AVE APT 206
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City | GLENDALE
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State | CA
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Zip | 91202-3247
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Country | US
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Telephone | 818-269-9931
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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