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NPI 1851256762

NPI 1851256762 : NOVELPATH RECOVERY : SYLMAR, CA

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General NPI Number Information
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    NPI Number           |    1851256762
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    Entity Type          |    Organization 
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    Legal Business Name  |    NOVELPATH RECOVERY 
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Dates
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    Enumeration Date     |    12/23/2025
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    Last Update Date     |    12/24/2025
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Provider Practice Location Address
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    Address Line         |    12646 HUBBARD ST 
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    City                 |    SYLMAR
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    State                |    CA
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    Zip                  |    91342-1948
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    Country              |    US
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    Telephone            |    818-888-8822
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12646 HUBBARD ST 
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    City                 |    SYLMAR
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    State                |    CA
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    Zip                  |    91342-1948
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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    |    CONSULTANT
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    Name                 |     MANNE  OGANYAN 
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    Credential           |    MPA
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    Telephone            |    818-422-4004
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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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