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General NPI Number Information
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NPI Number | 1689806457
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Entity Type | Individual
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Provider Name | DORNA ALYESHMERNI NILI MS
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Gender | Female
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3200 MOTOR AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-3710
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Country | US
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Telephone | 310-836-1223
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Fax |
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Provider Business Mailing Address
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Address Line | 25241 PRADO DEL GRANDIOSO
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City | CALABASAS
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State | CA
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Zip | 91302-3655
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Country | US
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Telephone | 818-264-9241
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 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 | CA
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Taxonomy #3
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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