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General NPI Number Information
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NPI Number | 1801700828
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Entity Type | Organization
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Legal Business Name | MG CLINICAL CONSULTING INC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 29178 BENTLEY WAY
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-4620
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Country | US
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Telephone | 818-384-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 29178 BENTLEY WAY
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-4620
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Country | US
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Telephone | 818-384-4545
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARINE GULOYAN
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Credential | LCSW
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Telephone | 818-384-4545
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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 |
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License Number State | NULL
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