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General NPI Number Information
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NPI Number | 1043745821
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Entity Type | Individual
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Provider Name | PUZANT TOPALJEKIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 04/20/2022
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Provider Practice Location Address
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Address Line | 5121 VAN NUYS BLVD STE 211
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-6124
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Country | US
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Telephone | 818-891-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5121 VAN NUYS BLVD STE 211
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-6124
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Country | US
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Telephone | 818-891-1000
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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 | ML60756248
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD60963491
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | A164802
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License Number State | CA
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