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General NPI Number Information
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NPI Number | 1962642363
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Entity Type | Organization
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Legal Business Name | WINDOWS FOR HOPE INC
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Dates
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Enumeration Date | 02/24/2009
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 18345 VENTURA BLVD STE 314
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City | TARZANA
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State | CA
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Zip | 91356-4242
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Country | US
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Telephone | 818-344-6818
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Fax | 818-344-6778
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Provider Business Mailing Address
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Address Line | 18345 VENTURA BLVD STE 314
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City | TARZANA
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State | CA
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Zip | 91356-4242
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Country | US
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Telephone | 818-344-6818
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Fax | 818-344-6778
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Authorized Official
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Title or Position | OWNER
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Name | SHIRIN NOORAVI
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Credential | PSYD
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Telephone | 818-344-6818
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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 | PSY21541
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License Number State | CA
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