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General NPI Number Information
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NPI Number | 1417561242
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Entity Type | Organization
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Legal Business Name | HAK MEDICAL CONSULTING
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 15424 MARILLA ST
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City | NORTH HILLS
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State | CA
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Zip | 91343-2125
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Country | US
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Telephone | 818-915-3544
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Fax |
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Provider Business Mailing Address
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Address Line | 15424 MARILLA ST
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City | NORTH HILLS
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State | CA
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Zip | 91343-2125
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Country | US
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Telephone | 818-915-3544
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARTUSH KHACHATRYAN
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Credential |
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Telephone | 818-915-3544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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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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