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General NPI Number Information
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NPI Number | 1699571356
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Entity Type | Organization
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Legal Business Name | STAY HEALTHY COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 11500 BURBANK BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2308
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Country | US
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Telephone | 818-599-9971
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Fax |
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Provider Business Mailing Address
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Address Line | 11500 BURBANK BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-2308
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Country | US
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Telephone | 818-599-9971
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANAHIT DJGALIAN
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Credential |
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Telephone | 818-599-9971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care 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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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