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General NPI Number Information
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NPI Number | 1669377826
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Entity Type | Organization
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Legal Business Name | BAYT AL-QULUB PSYCHOLOGY, INC.
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 823 PAULSON CIR
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City | MENLO PARK
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State | CA
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Zip | 94025-3680
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Country | US
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Telephone | 650-722-4900
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Fax | 509-479-8275
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Provider Business Mailing Address
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Address Line | 6008 W LOOKOUT MOUNTAIN LN
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City | SPOKANE
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State | WA
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Zip | 99208-7638
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Country | US
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Telephone | 650-722-4900
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Fax | 509-479-8275
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Authorized Official
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Title or Position | DIRECTOR, PSYCHOLOGIST
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Name | DR. AZADEH HOURMANESH WEBER
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Credential | PSYD
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Telephone | 650-722-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State | NULL
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Taxonomy #4
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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 | NULL
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Taxonomy #5
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | NULL
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