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NPI 1578757001

NPI 1578757001 : FARINHA AND ASSOCIATES : PASADENA, CA

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General NPI Number Information
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    NPI Number           |    1578757001
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    Entity Type          |    Organization 
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    Legal Business Name  |    FARINHA AND ASSOCIATES 
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Dates
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    Enumeration Date     |    08/28/2007
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    Last Update Date     |    08/28/2007
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Provider Practice Location Address
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    Address Line         |    2810 E DEL MAR BLVD STE 4
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91107-4321
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    Country              |    US
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    Telephone            |    626-844-0244
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2810 E DEL MAR BLVD STE 4
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91107-4321
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    Country              |    US
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    Telephone            |    626-844-0244
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL  FARINHA 
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    Credential           |    PSY.D.
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    Telephone            |    626-844-0244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    PSY16425
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    License Number State |    CA
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