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General NPI Number Information
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NPI Number | 1205783578
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Entity Type | Organization
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Legal Business Name | FENTON CARE
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 13863 FENTON AVE
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City | SYLMAR
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State | CA
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Zip | 91342-1670
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Country | US
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Telephone | 747-246-4421
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Fax | 747-246-4425
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Provider Business Mailing Address
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Address Line | 13863 FENTON AVE
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City | SYLMAR
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State | CA
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Zip | 91342-1670
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Country | US
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Telephone | 747-246-4421
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Fax | 747-246-4425
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANNA YAVRUYAN
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Credential |
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Telephone | 424-499-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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