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NPI 1629191689

NPI 1629191689 : JAMI T. OPYAN MFT : SHERMAN OAKS, CA

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General NPI Number Information
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    NPI Number           |    1629191689
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    Entity Type          |    Individual 
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    Provider Name        |    JAMI T. OPYAN MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    09/23/2010
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Provider Practice Location Address
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    Address Line         |    15235 BURBANK BLVD SUITE B6
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    City                 |    SHERMAN OAKS
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    State                |    CA
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    Zip                  |    91411-3500
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    Country              |    US
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    Telephone            |    818-516-5354
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19127 INDEX ST UNIT 2
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    City                 |    PORTER RANCH
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    State                |    CA
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    Zip                  |    91326-1647
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    Country              |    US
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    Telephone            |    818-516-5354
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC47692
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    License Number State |    CA
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