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General NPI Number Information
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NPI Number | 1801940648
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Entity Type | Individual
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Provider Name | DR. SARAH B BAKHSHI
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 25 LENOX POINTE NE STE B
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City | ATLANTA
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State | GA
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Zip | 30324-7420
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Country | US
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Telephone | 770-233-7574
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Fax |
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Provider Business Mailing Address
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Address Line | 1191 COMPASS LN APT 201
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City | FOSTER CITY
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State | CA
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Zip | 94404-3465
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Country | US
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Telephone | 650-627-9264
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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 | PSY004567
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License Number State | GA
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