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General NPI Number Information
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NPI Number | 1710211818
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Entity Type | Individual
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Provider Name | KATIE M ABAJIAN
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Gender | Female
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 482 W SAN YSIDRO BLVD
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City | SAN YSIDRO
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State | CA
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Zip | 92173-2444
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Country | US
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Telephone | 909-518-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 780 DENNERY RD STE 217
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City | SAN DIEGO
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State | CA
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Zip | 92154-8455
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Country | US
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Telephone | 773-770-5457
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 338051
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 88670
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License Number State | CA
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