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General NPI Number Information
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NPI Number | 1255221792
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Entity Type | Organization
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Legal Business Name | SPECIALTY REHABILITATION CENTER
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 20910 CALWOOD ST
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City | SANTA CLARITA
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State | CA
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Zip | 91350-1824
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Country | US
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Telephone | 818-731-4664
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Fax | 661-424-2920
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Provider Business Mailing Address
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Address Line | 20910 CALWOOD ST
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City | SANTA CLARITA
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State | CA
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Zip | 91350-1824
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Country | US
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Telephone | 818-731-4664
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Fax | 661-424-2920
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Authorized Official
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Title or Position | CEO
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Name | MOURAD MIKE TOKATLYAN
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Credential |
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Telephone | 818-731-4663
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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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