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General NPI Number Information
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NPI Number | 1063231355
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Entity Type | Organization
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Legal Business Name | MILESTONE NONPROFIT ORG
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 19329 SANTA MARIA DR
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2178
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Country | US
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Telephone | 818-359-2395
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Fax |
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Provider Business Mailing Address
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Address Line | 19329 SANTA MARIA DR
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2178
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Country | US
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Telephone | 818-359-2395
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TSOVINAR MARUKYAN
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Credential | MBA
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Telephone | 818-359-2395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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