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General NPI Number Information
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NPI Number | 1063690592
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SURGERY SPECIALISTS BURBANK
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 2625 W ALAMEDA AVE STE 116
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City | BURBANK
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State | CA
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Zip | 91505-4815
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Country | US
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Telephone | 818-841-3936
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Fax | 818-841-5974
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Provider Business Mailing Address
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Address Line | 2625 W ALAMEDA AVE STE 116
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City | BURBANK
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State | CA
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Zip | 91505-4815
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Country | US
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Telephone | 818-841-3936
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Fax | 818-841-5974
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Authorized Official
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Title or Position | DIRECTOR/OFFIER
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Name | DR. SHAHAN V. YACOUBIAN
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Credential | M.D.
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Telephone | 818-841-3936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number |
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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Taxonomy #4
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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Taxonomy #5
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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