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General NPI Number Information
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NPI Number | 1750248159
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Entity Type | Individual
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Provider Name | SHAKE SHERRY DARAKCHYAN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 20335 VENTURA BLVD STE 210
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2451
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Country | US
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Telephone | 310-435-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 18642 RUNNYMEDE ST
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City | RESEDA
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State | CA
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Zip | 91335-2720
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Country | US
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Telephone |
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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 | 139101
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License Number State | CA
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