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General NPI Number Information
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NPI Number | 1760282172
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Entity Type | Organization
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Legal Business Name | UNITED CBAS
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 8307 FOOTHILL BLVD
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City | SUNLAND
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State | CA
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Zip | 91040-2809
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Country | US
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Telephone | 747-400-0808
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Fax | 747-500-0808
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Provider Business Mailing Address
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Address Line | 1468 HILLSIDE DR
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City | GLENDALE
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State | CA
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Zip | 91208-2417
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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 | CFO
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Name | ERIC DER GRIKORIAN
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Credential |
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Telephone | 747-400-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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