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General NPI Number Information
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NPI Number | 1720954589
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Entity Type | Organization
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Legal Business Name | SYNAPSE MENTAL HEALTH, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 500 N CENTRAL AVE STE 600
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City | GLENDALE
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State | CA
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Zip | 91203-3340
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Country | US
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Telephone | 818-396-1411
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Fax | 818-396-1419
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Provider Business Mailing Address
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Address Line | 3308 WAVERLY DR
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City | LOS ANGELES
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State | CA
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Zip | 90027-2525
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Country | US
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Telephone | 818-396-1411
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Fax | 818-396-1419
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Authorized Official
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Title or Position | NURSE PRACTITIONER, CEO & SECRETARY
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Name | HOVHANNES AVAGYAN
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Credential | PMHNP-BC
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Telephone | 323-580-7019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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