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General NPI Number Information
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NPI Number | 1831978881
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Entity Type | Organization
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Legal Business Name | MIRACLE REHAB INC.
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 1527 N VALLEY ST
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City | BURBANK
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State | CA
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Zip | 91505-2001
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Country | US
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Telephone | 747-477-1543
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 N VALLEY ST
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City | BURBANK
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State | CA
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Zip | 91505-2001
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Country | US
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Telephone | 747-477-1543
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | CHRISTINA NAZARETYAN
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Credential |
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Telephone | 323-314-7344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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