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General NPI Number Information
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NPI Number | 1831474345
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Entity Type | Individual
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Provider Name | ELHAM SHOJA PSY 27172 LMFT 49335
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Gender | Female
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Dates
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Enumeration Date | 10/15/2011
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 8 CORPORATE PARK SUITE 300
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City | IRVINE
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State | CA
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Zip | 92606
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Country | US
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Telephone | 949-307-3239
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Fax | 949-430-6390
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Provider Business Mailing Address
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Address Line | 8 CORPORATE PARK, SUITE 300
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City | IRVINE
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State | CA
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Zip | 92606
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Country | US
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Telephone | 949-307-3239
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Fax | 949-430-6390
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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 | 49335
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 27172
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License Number State | CA
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