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General NPI Number Information
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NPI Number | 1396612628
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Entity Type | Individual
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Provider Name | MENOA MARGOUSIAN
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Gender | Male
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 120 S GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91205-1109
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Country | US
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Telephone | 818-200-8905
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 WINCHESTER AVE APT 204
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City | GLENDALE
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State | CA
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Zip | 91201-1856
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 300026
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License Number State | CA
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