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General NPI Number Information
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NPI Number | 1023208212
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Entity Type | Organization
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Legal Business Name | ARROWHEAD HEALTH CENTER & SPA, PLLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 17100 W 67TH AVE 300
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City | GLENDALE
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State | AZ
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Zip | 85308-3605
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Country | US
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Telephone | 818-458-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 17100 WEST 67TH AVE. 300
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 818-458-2587
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL OFFICER
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Name | DR. VARUZHAN MOVSESYAN
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Credential | D.O
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Telephone | 818-458-2587
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 4681
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License Number State | AZ
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