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General NPI Number Information
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NPI Number | 1639053754
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Entity Type | Organization
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Legal Business Name | BLUE SPRINGS WELLNESS, INC
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 9221 CORBIN AVE STE 150
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City | NORTHRIDGE
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State | CA
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Zip | 91324-2482
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Country | US
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Telephone | 818-339-6093
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Fax | 818-688-0399
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Provider Business Mailing Address
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Address Line | 9221 CORBIN AVE STE 150
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City | NORTHRIDGE
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State | CA
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Zip | 91324-2482
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Country | US
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Telephone | 818-924-2777
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Fax | 818-924-2667
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Authorized Official
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Title or Position | CEO
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Name | ARTHUR SARKIS SHLARYAN
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Credential |
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Telephone | 818-339-6093
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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 | 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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