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General NPI Number Information
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NPI Number | 1174096168
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Entity Type | Organization
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Legal Business Name | TAKOOSH ABRAHAMIAN
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 02/02/2019
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Provider Practice Location Address
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Address Line | 17715 CHATSWORTH ST STE 208
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5660
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Country | US
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Telephone | 818-644-9920
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Fax | 818-337-0440
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Provider Business Mailing Address
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Address Line | 17715 CHATSWORTH ST STE 208
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5660
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Country | US
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Telephone | 818-644-9920
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Fax | 818-337-0440
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Authorized Official
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Title or Position | OWNER
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Name | MISS TAKOOSH ABRAHAMIAN
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Credential | MS
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Telephone | 818-644-9920
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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 |
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License Number State |
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