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General NPI Number Information
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NPI Number | 1417833658
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Entity Type | Individual
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Provider Name | LAAL MEHRI GOLBADI
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2060 E AVENIDA DE LOS ARBOLES # 337
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-1361
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Country | US
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Telephone | 818-724-9776
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Fax |
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Provider Business Mailing Address
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Address Line | 2060 E AVENIDA DE LOS ARBOLES # 337
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-1361
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Country | US
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Telephone | 818-734-9776
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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 | 132895
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License Number State | CA
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