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General NPI Number Information
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NPI Number | 1174335210
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Entity Type | Organization
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Legal Business Name | HIGHERVISION SH, INC.
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 12623 JOLETTE AVE
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City | GRANADA HILLS
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State | CA
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Zip | 91344-1426
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Country | US
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Telephone | 818-612-3256
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Fax | 818-337-2017
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Provider Business Mailing Address
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Address Line | 722 W WILSON AVE
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City | GLENDALE
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State | CA
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Zip | 91203-2409
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Country | US
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Telephone | 818-612-3256
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Fax | 818-337-2017
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Authorized Official
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Title or Position | CEO
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Name | MR. ANDRE HAYRAPETIAN
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Credential |
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Telephone | 818-612-3256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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