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General NPI Number Information
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NPI Number | 1982869483
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Entity Type | Organization
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Legal Business Name | MINASSIAN REHAB MANAGEMENT INC
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 1605 HOPE ST STE 350
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-2658
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Country | US
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Telephone | 818-438-8776
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Fax | 818-566-1009
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Provider Business Mailing Address
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Address Line | 3318 WEDGEWOOD LN
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City | BURBANK
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State | CA
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Zip | 91504-1668
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Country | US
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Telephone | 818-438-8776
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Fax | 818-566-1009
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARLEN MINASSIAN
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Credential | DPT
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Telephone | 818-438-8776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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