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General NPI Number Information
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NPI Number | 1215276340
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Entity Type | Organization
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Legal Business Name | ARMEN MANOUCHERIAN CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 837 N GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91206-2128
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Country | US
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Telephone | 818-724-4352
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Fax | 818-450-0155
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Provider Business Mailing Address
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Address Line | 2505 CANADA BLVD STE 1
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City | GLENDALE
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State | CA
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Zip | 91208-2079
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Country | US
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Telephone | 818-724-4352
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Fax | 818-296-0736
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARMEN MANOUCHERIAN
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Credential | D.C.
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Telephone | 818-724-4352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 31641
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License Number State | CA
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