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General NPI Number Information
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NPI Number | 1083406078
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Entity Type | Organization
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Legal Business Name | ENCORE PACIFIC INTEGRATED CARE
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 120 N VICTORY BLVD STE 205
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City | BURBANK
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State | CA
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Zip | 91502-0001
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Country | US
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Telephone | 337-773-3773
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Fax |
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Provider Business Mailing Address
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Address Line | 12936 WINTHROP AVE
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City | GRANADA HILLS
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State | CA
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Zip | 91344-1223
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Country | US
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Telephone | 213-440-0123
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | ANI HARUTYUNYAN
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Credential |
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Telephone | 223-322-8743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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