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General NPI Number Information
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NPI Number | 1912551144
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Entity Type | Organization
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Legal Business Name | CARENODES
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 8265 W SUNSET BLVD STE 207
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-2470
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Country | US
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Telephone | 310-405-2376
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Fax |
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Provider Business Mailing Address
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Address Line | 600 ESPLANADE APT 201
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City | REDONDO BEACH
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State | CA
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Zip | 90277-4126
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Country | US
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Telephone | 310-405-2376
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARARAT ALEX YARIJANIAN
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Credential | MS
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Telephone | 310-405-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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