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General NPI Number Information
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NPI Number | 1114102993
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Entity Type | Individual
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Provider Name | ZARINE TER-POGHOSYAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/30/2007
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Last Update Date | 04/08/2020
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Provider Practice Location Address
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Address Line | 303 S GLENOAKS BLVD SUITE 6
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City | BURBANK
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State | CA
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Zip | 91502-1319
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Country | US
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Telephone | 818-842-8400
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Fax | 818-842-8487
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Provider Business Mailing Address
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Address Line | 12507 VICTORY BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3135
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Country | US
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Telephone | 818-454-0442
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Fax | 818-782-5523
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A101387
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License Number State | CA
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