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General NPI Number Information
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NPI Number | 1750959565
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Entity Type | Individual
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Provider Name | MS. SIMA ZANDI
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 12821 NEWPORT AVE
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City | TUSTIN
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State | CA
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Zip | 92780-2711
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Country | US
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Telephone | 714-803-4866
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Fax |
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Provider Business Mailing Address
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Address Line | 232 MONTANA DEL LAGO DR
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-1356
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Country | US
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Telephone | 949-981-8554
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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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