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General NPI Number Information
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NPI Number | 1316411846
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Entity Type | Organization
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Legal Business Name | MANANIAN CHIROPRACTIC, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/17/2019
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 4142 OCEAN VIEW BLVD
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City | MONTROSE
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State | CA
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Zip | 91020-1552
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Country | US
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Telephone | 818-984-3057
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Fax |
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Provider Business Mailing Address
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Address Line | 4142 OCEAN VIEW BLVD
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City | MONTROSE
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State | CA
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Zip | 91020-1552
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Country | US
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Telephone | 818-984-3057
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | GARIK MANANIAN
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Credential | DC
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Telephone | 818-984-3057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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