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General NPI Number Information
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NPI Number | 1174706527
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Entity Type | Individual
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Provider Name | LUCY GULATYAN
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Gender | Female
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 21263 ERWIN ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3715
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Country | US
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Telephone | 818-465-8863
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Fax |
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Provider Business Mailing Address
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Address Line | 6305 WOODMAN AVE
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City | VAN NUYS
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State | CA
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Zip | 91401-2346
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Country | US
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Telephone | 818-901-6376
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 51364
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License Number State | CA
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