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General NPI Number Information
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NPI Number | 1801416847
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Entity Type | Organization
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Legal Business Name | INSIGHT PERSONAL AND FAMILY THERAPY, INC
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 04/20/2020
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Provider Practice Location Address
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Address Line | 65 N MADISON AVE STE 601
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City | PASADENA
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State | CA
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Zip | 91101-2047
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Country | US
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Telephone | 323-761-9241
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Fax |
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Provider Business Mailing Address
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Address Line | 33 N EL MOLINO AVE APT 211
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City | PASADENA
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State | CA
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Zip | 91101-5642
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Country | US
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Telephone | 949-290-9008
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | FARNUSH FARMAND
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Credential | PSYD
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Telephone | 323-761-9241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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