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General NPI Number Information
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NPI Number | 1750280749
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Entity Type | Individual
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Provider Name | KATAYOUN KESHTKARAN ED.D.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 1965 BIRKMONT DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-6407
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Country | US
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Telephone | 916-294-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 296 RANDALL DR
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City | FOLSOM
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State | CA
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Zip | 95630-4925
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Country | US
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Telephone | 614-815-5111
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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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