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General NPI Number Information
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NPI Number | 1821910662
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Entity Type | Individual
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Provider Name | LILIT MANUKYAN
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Gender | Female
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 8673 CANTERBURY AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4063
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Country | US
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Telephone | 747-767-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 8673 CANTERBURY AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4063
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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 |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1004X
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Taxonomy Name | Pediatric Nutrition Registered Dietitian
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License Number | 86331709
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number | 86331709
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 133VN1101X
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Taxonomy Name | Gerontological Nutrition Registered Dietitian
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License Number | 86331709
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number | 86331709
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 86331709
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License Number State | CA
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