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General NPI Number Information
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NPI Number | 1659794246
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Entity Type | Organization
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Legal Business Name | AC AND CS
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/09/2020
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Provider Practice Location Address
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Address Line | 421 E ANGELENO AVE SUITE 105
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City | BURBANK
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State | CA
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Zip | 91501-2286
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Country | US
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Telephone | 818-658-5502
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Fax | 818-751-5171
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Provider Business Mailing Address
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Address Line | 230 N MARYLAND AVE STE 209
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City | GLENDALE
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State | CA
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Zip | 91206-4282
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Country | US
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Telephone | 818-658-5502
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Fax | 818-751-5171
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Authorized Official
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Title or Position | CEO
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Name | ARTHUR SARKISIAN
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Credential | LCSW, PSY.D. CANDIDA
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Telephone | 818-658-5502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 28515
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License Number State | CA
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