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General NPI Number Information
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NPI Number | 1508727801
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Entity Type | Organization
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Legal Business Name | LAVENDER ADULT DAY HEALTH CARE LLC
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 609 N POPLAR AVE
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City | MONTEBELLO
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State | CA
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Zip | 90640-3558
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Country | US
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Telephone | 323-306-6300
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Fax | 323-306-6302
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Provider Business Mailing Address
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Address Line | 609 N POPLAR AVE
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City | MONTEBELLO
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State | CA
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Zip | 90640-3558
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Country | US
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Telephone | 323-306-6300
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Fax | 323-306-6302
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Authorized Official
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Title or Position | OWNER
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Name | HRAG HARBOYAN
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Credential |
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Telephone | 323-303-7890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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