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General NPI Number Information
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NPI Number | 1013821859
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Entity Type | Individual
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Provider Name | ANNA TER-GRIGORYAN
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 140 PROMENADE WAY STE C
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3828
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Country | US
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Telephone | 805-222-7353
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Fax |
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Provider Business Mailing Address
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Address Line | 7818 BELLAIRE AVE
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-2116
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Country | US
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Telephone | 818-808-5385
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 36393
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License Number State | CA
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