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General NPI Number Information
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NPI Number | 1538720461
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Entity Type | Individual
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Provider Name | HOOMAN ASGARI
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Gender | Male
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Dates
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Enumeration Date | 06/21/2019
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Last Update Date | 06/21/2019
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Provider Practice Location Address
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Address Line | 1212 N VERMONT AVE STE 101
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City | LOS ANGELES
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State | CA
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Zip | 90029-1704
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Country | US
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Telephone | 323-794-2041
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 S AUBURN WAY UNIT 541
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City | ANAHEIM
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State | CA
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Zip | 92805-6631
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Country | US
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Telephone | 818-392-9354
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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 | 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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