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General NPI Number Information
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NPI Number | 1558298794
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Entity Type | Organization
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Legal Business Name | DOVEINCHI OP CENTER
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 21054 SHERMAN WAY STE 340
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City | CANOGA PARK
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State | CA
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Zip | 91303-4517
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Country | US
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Telephone | 747-270-3408
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Fax |
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Provider Business Mailing Address
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Address Line | 21054 SHERMAN WAY STE 340
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City | CANOGA PARK
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State | CA
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Zip | 91303-4517
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Country | US
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Telephone | 747-270-3408
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MANVEL SMBATYAN
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Credential |
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Telephone | 747-270-9408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health 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 | 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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