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General NPI Number Information
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NPI Number | 1649156944
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Entity Type | Organization
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Legal Business Name | AFFINITY HEALTH GROUP
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 8237 ROCHESTER AVE STE 115
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0749
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Country | US
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Telephone | 818-807-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 8237 ROCHESTER AVE STE 115
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0749
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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 | ADMIN
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Name | MANE HARUTYUNYAN
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Credential |
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Telephone | 818-807-5640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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