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General NPI Number Information
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NPI Number | 1548529498
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Entity Type | Individual
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Provider Name | LEILI ZARBAKHSH
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Gender | Female
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Dates
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Enumeration Date | 05/13/2012
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Last Update Date | 12/12/2019
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Provider Practice Location Address
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Address Line | 9201 OAKDALE AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-6542
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Country | US
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Telephone | 805-339-0210
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Fax | 805-642-3757
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Provider Business Mailing Address
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Address Line | 9501 OAKDALE AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-5625
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Country | US
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Telephone | 805-339-0210
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Fax | 805-642-3757
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-04-1816
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | LEP1844
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 24726
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License Number State | CA
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