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NPI 1063995819

NPI 1063995819 : ANGELA TER-ZAKARIAN : BURBANK, CA

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General NPI Number Information
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    NPI Number           |    1063995819
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA TER-ZAKARIAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/07/2018
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    Last Update Date     |    09/08/2018
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Provider Practice Location Address
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    Address Line         |    1130 W OLIVE AVE UNIT C 
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91506
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    Country              |    US
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    Telephone            |    818-237-0593
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3044 EMERALD ISLE DR 
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    City                 |    GLENDALE
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    State                |    CA
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    Zip                  |    91206-1010
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    Country              |    US
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    Telephone            |    818-237-0593
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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        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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