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General NPI Number Information
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NPI Number | 1538983127
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Entity Type | Organization
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Legal Business Name | 4 SEASONS RECOVERY IOP
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 8300 VALLEY CIRCLE BLVD STE C
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City | WEST HILLS
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State | CA
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Zip | 91304-3023
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Country | US
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Telephone | 424-225-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 VALLEY CIRCLE BLVD STE C
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City | WEST HILLS
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State | CA
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Zip | 91304-3023
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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 | ADMIN
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Name | MR. ARMO HAGHNAZARIAN
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Credential |
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Telephone | 424-225-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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