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General NPI Number Information
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NPI Number | 1114556263
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Entity Type | Organization
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Legal Business Name | ARM 4 ARM FOUNDATION
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 04/01/2020
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Provider Practice Location Address
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Address Line | 231 W VERNON AVE. SUITE 101, 201
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City | LOS ANGELES
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State | CA
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Zip | 90037
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Country | US
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Telephone | 818-730-3467
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Fax |
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Provider Business Mailing Address
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Address Line | 12439 MAGNOLIA BLVD STE 152
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-2450
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Country | US
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Telephone | 818-730-3467
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ARMEN BUNIATYAN
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Credential |
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Telephone | 818-730-3467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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