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General NPI Number Information
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NPI Number | 1427625334
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Entity Type | Organization
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Legal Business Name | MONARCH CENTER FOR DEVELOPMENTAL SERVICES
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 221 E GLENOAKS BLVD STE 230
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City | GLENDALE
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State | CA
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Zip | 91207-2127
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Country | US
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Telephone | 818-599-7828
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Fax |
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Provider Business Mailing Address
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Address Line | 221 E GLENOAKS BLVD STE 230
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City | GLENDALE
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State | CA
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Zip | 91207-2127
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Country | US
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Telephone | 818-599-7828
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | DR. ANILGA TABIBIAN
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Credential | PHD
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Telephone | 818-539-9945
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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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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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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