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General NPI Number Information
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NPI Number | 1588295224
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Entity Type | Organization
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Legal Business Name | NEW START CLHF'S INDEPENDENT TRAINING CENTERS
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 19640 BERMUDA ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-1908
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Country | US
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Telephone | 818-900-5585
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Fax |
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Provider Business Mailing Address
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Address Line | 10318 LARAMIE AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-2530
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Country | US
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Telephone | 818-900-5585
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Fax |
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Authorized Official
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Title or Position | COO, CFO
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Name | GEYANEH VARTANIAN
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Credential |
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Telephone | 818-554-4769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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