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General NPI Number Information
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NPI Number | 1952867277
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Entity Type | Organization
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Legal Business Name | DIGNITY ADULT DAY HEALTH CARE CENTER
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 4110 HOLT BLVD
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City | MONTCLAIR
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State | CA
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Zip | 91763-4605
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Country | US
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Telephone | 818-599-8998
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Fax |
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Provider Business Mailing Address
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Address Line | 510 N JACKSON ST APT 210
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City | GLENDALE
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State | CA
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Zip | 91206-3206
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Country | US
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Telephone | 818-599-8998
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Fax |
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | ALINA KARAPETYAN
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Credential | MSW
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Telephone | 818-559-8998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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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