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General NPI Number Information
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NPI Number | 1780041335
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Entity Type | Individual
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Provider Name | DR. ASHOUR BADAL
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Gender | Male
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 909 15TH ST STE 8
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City | MODESTO
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State | CA
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Zip | 95354-1130
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Country | US
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Telephone | 209-529-7807
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Fax | 209-529-7919
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Provider Business Mailing Address
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Address Line | 2665 CARMICHAEL WAY
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City | TURLOCK
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State | CA
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Zip | 95382-9138
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Country | US
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Telephone | 209-529-7807
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Fax | 209-529-7919
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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 | 132974
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License Number State | CA
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