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General NPI Number Information
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NPI Number | 1609063767
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Entity Type | Organization
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Legal Business Name | PAZ COUNSELING SERVICES
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 541 W COLORADO ST STE 103
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City | GLENDALE
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State | CA
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Zip | 91204-3644
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Country | US
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Telephone | 818-640-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 541 W COLORADO ST STE 103
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City | GLENDALE
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State | CA
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Zip | 91204-3644
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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 | DIRECTOR
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Name | ANNA SHAKHGELDYAN
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Credential |
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Telephone | 818-640-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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