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General NPI Number Information
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NPI Number | 1093136582
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Entity Type | Organization
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Legal Business Name | ANNIE A. BARSEGHIAN MD INC
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 50 BELLEFONTAINE ST STE 301
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City | PASADENA
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State | CA
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Zip | 91105-3132
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Country | US
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Telephone | 626-214-5523
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Fax | 626-226-5923
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Provider Business Mailing Address
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Address Line | 50 BELLEFONTAINE ST STE 301
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City | PASADENA
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State | CA
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Zip | 91105-3132
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Country | US
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Telephone | 626-214-5523
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Fax | 626-226-5923
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANNIE A BARSEGHIAN I
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Credential | MD
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Telephone | 626-214-5523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | A88615
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License Number State | CA
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