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General NPI Number Information
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NPI Number | 1053222901
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Entity Type | Individual
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Provider Name | ANNA DARAKCHYAN CPT1
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 21823 LOPEZ ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-3119
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Country | US
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Telephone | 818-339-1529
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Fax | 818-638-5525
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Provider Business Mailing Address
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Address Line | 21823 LOPEZ ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-3119
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Country | US
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Telephone | 818-339-1529
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Fax | 818-638-5525
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CPT-00014117
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License Number State | CA
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