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General NPI Number Information
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NPI Number | 1639440886
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Entity Type | Individual
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Provider Name | NESHMIL ARIY M.A, LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 08/16/2021
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Provider Practice Location Address
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Address Line | 3636 4TH AVE STE 302
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City | SAN DIEGO
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State | CA
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Zip | 92103-4294
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Country | US
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Telephone | 858-247-1928
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Fax | 855-975-3011
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Provider Business Mailing Address
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Address Line | 1646 BROOKES AVE APT C
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City | SAN DIEGO
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State | CA
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Zip | 92103-5137
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Country | US
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Telephone | 619-495-6226
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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 | 114112
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License Number State | CA
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