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General NPI Number Information
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NPI Number | 1649833252
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Entity Type | Individual
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Provider Name | MS. NARGESS FASSIH
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Gender | Female
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 9070 IRVINE CENTER DR STE 250
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City | IRVINE
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State | CA
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Zip | 92618-4692
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Country | US
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Telephone | 714-698-9443
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Fax |
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Provider Business Mailing Address
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Address Line | 9070 IRVINE CENTER DR STE 250
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City | IRVINE
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State | CA
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Zip | 92618-4692
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Country | US
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Telephone | 714-698-9443
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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 | 112683
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License Number State | CA
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