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General NPI Number Information
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NPI Number | 1063159523
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Entity Type | Individual
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Provider Name | VIKTORIYA STEPANYAN
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Gender | Female
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 333 E MAGNOLIA BLVD STE 103
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City | BURBANK
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State | CA
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Zip | 91502-1198
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Country | US
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Telephone | 818-848-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 704 E WINDSOR RD APT 1
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City | GLENDALE
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State | CA
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Zip | 91205-2445
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Country | US
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Telephone | 818-795-9395
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95020871
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95020871
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License Number State | CA
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