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General NPI Number Information
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NPI Number | 1649618125
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Entity Type | Individual
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Provider Name | HODA ABOU-ZIAB PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 310-222-3198
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 W CARSON ST # 36
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City | TORRANCE
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State | CA
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Zip | 90502-2059
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Country | US
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Telephone | 949-338-5844
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY29984
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License Number State | CA
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