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General NPI Number Information
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NPI Number | 1588029045
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Entity Type | Organization
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Legal Business Name | ENHANCED PSYCHOLOGICAL HEALTH CARE, INC
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 5737 TRINITY PL
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City | SAN DIEGO
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State | CA
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Zip | 92120-4549
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Country | US
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Telephone | 619-265-8383
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Fax | 619-460-2100
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Provider Business Mailing Address
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Address Line | 5737 TRINITY PL
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City | SAN DIEGO
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State | CA
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Zip | 92120-4549
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Country | US
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Telephone | 619-265-8383
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Fax | 619-460-2100
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. FARIDEH HASSANI REZAI
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Credential | PH.D
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Telephone | 619-265-8383
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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 | PSY9899
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License Number State | CA
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