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General NPI Number Information
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NPI Number | 1497626204
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Entity Type | Individual
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Provider Name | HANIEH FAHAMI AMFT/APCC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 23181 LA CADENA DR STE 101
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1479
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Country | US
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Telephone | 760-500-3325
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Fax |
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Provider Business Mailing Address
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Address Line | 15642 SAND CANYON AVE UNIT 50044
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City | IRVINE
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State | CA
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Zip | 92619-9996
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Country | US
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Telephone | 949-346-4101
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 20268
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 157553
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License Number State | CA
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