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General NPI Number Information
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NPI Number | 1538190988
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Entity Type | Individual
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Provider Name | NADINE KATIBLOO LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 4010 BARRANCA PKWY STE 252
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City | IRVINE
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State | CA
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Zip | 92604-1716
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Country | US
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Telephone | 949-235-4858
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Fax | 949-379-6520
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Provider Business Mailing Address
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Address Line | 1425 ABELIA
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City | IRVINE
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State | CA
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Zip | 92606-4517
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Country | US
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Telephone | 949-235-4858
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Fax | 949-379-6520
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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 | 44322
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License Number State | CA
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