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General NPI Number Information
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NPI Number | 1043850662
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Entity Type | Organization
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Legal Business Name | WECARE SHAN INC
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Dates
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Enumeration Date | 01/11/2020
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 21041 PARTHENIA ST UNIT 158
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City | CANOGA PARK
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State | CA
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Zip | 91304-2080
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Country | US
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Telephone | 818-267-8479
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Fax | 818-450-0272
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Provider Business Mailing Address
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Address Line | 21041 PARTHENIA ST UNIT 158
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City | CANOGA PARK
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State | CA
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Zip | 91304-2080
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Country | US
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Telephone | 818-267-8479
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Fax | 818-450-0272
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Authorized Official
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Title or Position | ADMINISTRATOR/EXECUTIVE DIRECTOR
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Name | MR. PETROS HAJIAN
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Credential |
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Telephone | 818-267-8479
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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 |
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License Number State |
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