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General NPI Number Information
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NPI Number | 1619804457
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Entity Type | Individual
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Provider Name | MARINE HOVSEPIAN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 1540 5TH ST
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City | GLENDALE
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State | CA
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Zip | 91201-1925
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Country | US
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Telephone | 818-243-4279
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 ARD EEVIN AVE
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City | GLENDALE
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State | CA
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Zip | 91202-1222
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Country | US
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Telephone | 818-635-0205
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14089438
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License Number State | CA
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