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General NPI Number Information
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NPI Number | 1679309058
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Entity Type | Organization
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Legal Business Name | MONARCH TREATMENT CENTER
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1250 ALTA PASEO
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City | BURBANK
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State | CA
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Zip | 91501-1612
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Country | US
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Telephone | 818-612-3256
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Fax | 818-337-2017
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Provider Business Mailing Address
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Address Line | 1250 ALTA PASEO
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City | BURBANK
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State | CA
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Zip | 91501-1612
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Country | US
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Telephone | 818-744-2745
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Fax | 818-337-2017
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Authorized Official
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Title or Position | CFO
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Name | MR. ANDRE HAYRAPETIAN
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Credential |
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Telephone | 818-612-3256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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