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General NPI Number Information
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NPI Number | 1255086369
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Entity Type | Organization
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Legal Business Name | ANI HARUTYUNYAN LICENSED CLINICAL SOCIAL WORKER APC
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 16530 VENTURA BLVD STE 400
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City | ENCINO
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State | CA
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Zip | 91436-4551
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Country | US
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Telephone | 818-351-7386
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Fax |
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Provider Business Mailing Address
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Address Line | 11900 SNELLING ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-2436
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Country | US
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Telephone | 818-454-7640
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER APC
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Name | ANI HARUTYUNYAN
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Credential |
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Telephone | 818-351-7386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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