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General NPI Number Information
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NPI Number | 1629957642
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Entity Type | Organization
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Legal Business Name | EVERLIGHT TEENS, ADULTS & FAMILY THERAPY APC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 6914 LOS VERDES DR APT 4
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5643
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Country | US
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Telephone | 310-925-3852
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Fax |
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Provider Business Mailing Address
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Address Line | 6914 LOS VERDES DR APT 4
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-5643
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Country | US
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Telephone | 310-925-3852
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. RASHIDA KHAN
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Credential |
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Telephone | 310-925-3852
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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 |
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License Number State |
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