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General NPI Number Information
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NPI Number | 1477811420
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Entity Type | Organization
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Legal Business Name | SEPIDEH ZARINEJAD
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD STE 920
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City | ENCINO
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State | CA
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Zip | 91436-2611
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Country | US
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Telephone | 818-461-0339
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Fax |
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Provider Business Mailing Address
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Address Line | 16055 VENTURA BLVD STE 920
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City | ENCINO
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State | CA
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Zip | 91436-2611
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Country | US
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Telephone | 818-461-0339
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Fax | 818-461-0339
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST/ PRESIDENT
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Name | DR. SEPIDEH ZARINEJAD
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Credential | PH.D.
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Telephone | 818-461-0339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY15150
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License Number State | CA
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