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General NPI Number Information
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NPI Number | 1942804521
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Entity Type | Organization
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Legal Business Name | SAMPEAH GROUP, INC.
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 1307 W 6TH ST # 123-126
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City | CORONA
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State | CA
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Zip | 92882-3294
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Country | US
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Telephone | 951-523-8081
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Fax |
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Provider Business Mailing Address
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Address Line | 348 E OLIVE AVE STE J
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City | BURBANK
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State | CA
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Zip | 91502-1226
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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 | ADMINISTRATOR
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Name | CHRISTINE KHATCHOYAN
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Credential |
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Telephone | 818-941-5942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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