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General NPI Number Information
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NPI Number | 1639701840
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Entity Type | Organization
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Legal Business Name | BURBANK HILLS CONGREGATE HOME INC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 915 E CEDAR AVE
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City | BURBANK
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State | CA
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Zip | 91501-1527
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Country | US
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Telephone | 818-457-1040
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Fax |
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Provider Business Mailing Address
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Address Line | 915 E CEDAR AVE
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City | BURBANK
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State | CA
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Zip | 91501-1527
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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 | PRESIDENT CEO
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Name | MRS. AGAVNI AGGIE UZUNYAN
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Credential |
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Telephone | 818-515-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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