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General NPI Number Information
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NPI Number | 1003433236
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Entity Type | Individual
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Provider Name | GAYANE CELINE BABAKHANIAN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2020
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Last Update Date | 07/10/2020
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Provider Practice Location Address
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Address Line | 10560 PLAINVIEW AVE
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City | TUJUNGA
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State | CA
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Zip | 91042-1718
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Country | US
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Telephone | 818-579-3989
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Fax |
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Provider Business Mailing Address
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Address Line | 10560 PLAINVIEW AVE
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City | TUJUNGA
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State | CA
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Zip | 91042-1718
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Country | US
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Telephone | 818-579-3989
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95014777
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License Number State | CA
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