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General NPI Number Information
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NPI Number | 1992184535
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Entity Type | Individual
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Provider Name | NILOUFAR B. TOHIDIAN M.S., PSY.D.,
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Gender | Female
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 410 GODDARD
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City | IRVINE
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State | CA
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Zip | 92618-4610
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Country | US
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Telephone | 949-244-1773
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Fax |
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Provider Business Mailing Address
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Address Line | 410 GODDARD
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City | IRVINE
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State | CA
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Zip | 92618-4610
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Country | US
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Telephone | 949-244-1773
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC334
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 86056
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License Number State | CA
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