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General NPI Number Information
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NPI Number | 1558579136
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Entity Type | Individual
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Provider Name | KARINE SHAKIB-BELTRAN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 15021 VENTURA BLVD SUITE 406
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5470
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Country | US
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Telephone | 818-903-1972
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Fax | 818-691-0253
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Provider Business Mailing Address
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Address Line | 15021 VENTURA BLVD SUITE 406
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2442
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Country | US
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Telephone | 818-903-1972
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Fax | 818-691-0253
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY23343
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License Number State | CA
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