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General NPI Number Information
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NPI Number | 1366147928
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Entity Type | Organization
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Legal Business Name | ZEN RECOVERY CENTER INC.
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 20944 SHERMAN WAY STE 108
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City | CANOGA PARK
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State | CA
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Zip | 91303-3625
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Country | US
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Telephone | 818-855-9040
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Fax | 855-952-3790
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Provider Business Mailing Address
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Address Line | 23460 HATTERAS ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-3020
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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 | PRESIDENT
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Name | HAKOB KUYUMJYAN
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Credential |
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Telephone | 818-855-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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