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General NPI Number Information
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NPI Number | 1164013314
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Entity Type | Organization
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Legal Business Name | AVETIS TOPCHYAN, PSY.D., A PROFESSIONAL PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 01/31/2021
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Last Update Date | 01/31/2021
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD. SUITE 400
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City | ENCINO
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State | CA
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Zip | 91436
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Country | US
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Telephone | 747-208-3288
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Fax |
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Provider Business Mailing Address
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Address Line | 16746 TUPPER ST.
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City | NORTHRIDGE
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State | CA
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Zip | 91343
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Country | US
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Telephone | 747-208-3288
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. AVETIS AVO TOPCHYAN
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Credential | PSY.D.
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Telephone | 747-208-3288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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