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General NPI Number Information
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NPI Number | 1851008189
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Entity Type | Organization
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Legal Business Name | SHOGHAIR MGRDITCHIAN FAMILY AND INDIVIDUAL THERAPY INC
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 2505 FOOTHILL BLVD STE D
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City | LA CRESCENTA
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State | CA
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Zip | 91214-4555
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Country | US
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Telephone | 661-524-9932
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Fax | 661-524-9950
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Provider Business Mailing Address
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Address Line | 9558 INSPIRATION WAY
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City | TUJUNGA
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State | CA
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Zip | 91042-3018
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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 | LMFT/OWNER
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Name | SHOGHAIR MGRDITCHIAN
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Credential | LMFT
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Telephone | 626-644-6632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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