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1366608549
FARD SHAH
LOS ANGELES, CA
NPI
1366608549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-08-06
Last Update Date
2008-08-06
Business Address
-- FARD SHAH
751 W WASHINGTON BLVD
LOS ANGELES, CA 90015-4100
Phone number: 213-741-1084
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Mailing Address
-- FARD SHAH
751 W WASHINGTON BLVD
LOS ANGELES, CA 90015-4100
Phone number: 213-741-1084
Copy
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