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General NPI Number Information
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NPI Number | 1396138996
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Entity Type | Individual
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Provider Name | AZADEH TAEFI M.S., PPS, CWA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2015
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1697 VIA ALEGRE
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City | SAN DIMAS
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State | CA
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Zip | 91773-4222
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Country | US
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Telephone | 779-429-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 1697 VIA ALEGRE
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City | SAN DIMAS
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State | CA
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Zip | 91773-4222
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Country | US
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Telephone | 779-429-2334
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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 | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 102X00000X
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Taxonomy Name | Poetry Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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