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General NPI Number Information
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NPI Number | 1467242677
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Entity Type | Individual
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Provider Name | SARA GHAZOURIAN
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Gender | Female
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 3210 W BURBANK BLVD STE B
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City | BURBANK
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State | CA
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Zip | 91505-2200
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Country | US
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Telephone | 818-638-9586
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Fax |
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Provider Business Mailing Address
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Address Line | 9912 HAYVENHURST AVE
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City | NORTH HILLS
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State | CA
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Zip | 91343-1163
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Country | US
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Telephone | 818-798-8102
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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