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General NPI Number Information
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NPI Number | 1235008434
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Entity Type | Organization
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Legal Business Name | KS VENTURES INC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 4141 HAYVENHURST AVE
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City | ENCINO
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State | CA
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Zip | 91436-3851
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Country | US
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Telephone | 424-400-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 15701 SHERMAN WAY # 8475
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City | VAN NUYS
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State | CA
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Zip | 91406-4008
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Country | US
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Telephone | 424-400-2222
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SHANT BROUTIAN
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Credential |
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Telephone | 424-400-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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