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General NPI Number Information
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NPI Number | 1932722345
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Entity Type | Organization
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Legal Business Name | IZMIRIAN COUNSELING, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 10819 NE 99TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98662-3439
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Country | US
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Telephone | 818-437-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 10819 NE 99TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98662-3439
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Country | US
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Telephone | 818-437-4232
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGELA ALICE IZMIRIAN
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Credential | PH.D.
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Telephone | 818-437-4232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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