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General NPI Number Information
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NPI Number | 1770970238
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Entity Type | Organization
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Legal Business Name | HAMILA MOSSADEGHI
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 11601 WILSHIRE BLVD 500
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City | LOS ANGELES
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State | CA
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Zip | 90025-0509
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Country | US
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Telephone | 310-779-7710
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Fax | 818-757-7106
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Provider Business Mailing Address
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Address Line | 11601 WILSHIRE BLVD SUITE 500
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City | LOS ANGELES
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State | CA
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Zip | 90025-0509
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Country | US
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Telephone | 310-779-7710
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Fax | 818-757-7106
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Authorized Official
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Title or Position | LMFT
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Name | MS. HOMILA MOSSADEGHI
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Credential | LMFT
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Telephone | 310-779-7710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 84931
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License Number State | CA
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