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General NPI Number Information
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NPI Number | 1043801897
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Entity Type | Individual
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Provider Name | MICHAEL JANJIGIAN
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Gender | Male
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 1060 GLENDON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90024-2908
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Country | US
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Telephone | 310-539-8800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 235
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City | PALOS VERDES ESTATES
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State | CA
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Zip | 90274-0235
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Country | US
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Telephone | 310-539-8800
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Fax | 424-203-8389
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 29852
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License Number State | CA
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