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General NPI Number Information
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NPI Number | 1558275552
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Entity Type | Individual
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Provider Name | AYESHA GHAFFAR
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 16600 SHERMAN WAY STE 178
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City | VAN NUYS
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State | CA
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Zip | 91406-3875
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Country | US
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Telephone | 818-235-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 1886 MOUNT VERDUGO LN
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City | PERRIS
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State | CA
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Zip | 92571-6503
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Country | US
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Telephone | 818-235-1414
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | CA
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