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General NPI Number Information
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NPI Number | 1003438839
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Entity Type | Organization
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Legal Business Name | PRIMARY HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 11436 VANOWEN ST STE A
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-6220
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Country | US
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Telephone | 310-666-2392
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Fax | 818-484-2919
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Provider Business Mailing Address
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Address Line | 11436 VANOWEN ST STE A
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-6220
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Country | US
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Telephone | 310-666-2392
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Fax | 818-484-2919
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Authorized Official
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Title or Position | CEO/CFO/SECRETARY
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Name | DAVIT HAKOBYAN
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Credential |
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Telephone | 310-666-2392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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