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General NPI Number Information
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NPI Number | 1093135055
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Entity Type | Individual
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Provider Name | CHAROSKHON TURABOVA
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Gender | Female
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Dates
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Enumeration Date | 04/17/2014
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 802 N RIVERSIDE RD STE 150
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City | SAINT JOSEPH
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State | MO
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Zip | 64507-2508
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Country | US
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Telephone | 816-271-4025
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Fax | 816-271-4026
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Provider Business Mailing Address
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Address Line | 2895 N TOWNE AVE
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City | POMONA
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State | CA
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Zip | 91767-2009
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Country | US
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Telephone | 909-982-2719
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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 | 2084D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
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License Number | A175508
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | 2025022536
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License Number State | MO
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