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General NPI Number Information
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NPI Number | 1083539639
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Entity Type | Organization
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Legal Business Name | HOVEN REGENERATIVE MEDICINE
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 14121 ERWIN ST SUITE 104
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City | VAN NUYS
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State | CA
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Zip | 91401-2896
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Country | US
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Telephone | 747-327-5434
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Fax | 747-327-5408
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Provider Business Mailing Address
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Address Line | 14121 ERWIN ST SUITE 104
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City | VAN NUYS
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State | CA
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Zip | 91401-2896
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Country | US
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Telephone | 747-327-5434
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Fax | 747-327-5408
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HOVHANNES GHAZARYAN
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Credential | M.D.
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Telephone | 747-327-5434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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