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General NPI Number Information
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NPI Number | 1295691079
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Entity Type | Organization
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Legal Business Name | DR MAZMANYAN AND ASSOCIATES
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 10960 WILSHIRE BLVD SUITE 1900
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City | LOS ANGELES
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State | CA
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Zip | 90024
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Country | US
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Telephone | 818-649-0930
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Fax |
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Provider Business Mailing Address
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Address Line | 350 N GLENDALE AVE STE B #178 #178
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City | GLENDALE
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State | CA
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Zip | 91206
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL PSYCHOLOGIST
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Name | DR. MELINE MAZMANYAN
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Credential | PHD
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Telephone | 818-649-0930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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