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General NPI Number Information
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NPI Number | 1801269287
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Entity Type | Organization
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Legal Business Name | TALAL H. ALSALEEM, LMFT
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 915 HIGHLAND POINTE DR SUITE 250
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City | ROSEVILLE
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State | CA
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Zip | 95678-5419
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Country | US
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Telephone | 916-779-9939
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 HAZEL ST
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City | GRIDLEY
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State | CA
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Zip | 95948-2409
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Country | US
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Telephone | 916-779-9939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TALAL H. ALSALEEM
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Credential | LMFT
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Telephone | 916-779-9939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 49918
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License Number State | CA
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