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General NPI Number Information
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NPI Number | 1134659378
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Entity Type | Individual
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Provider Name | ARMAN TCHOUKADARIAN DC
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Gender | Male
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 06/19/2017
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Provider Practice Location Address
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Address Line | 610 N. LAKE AVE.
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City | PASADENA
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State | CA
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Zip | 91101-1220
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Country | US
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Telephone | 626-585-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 2382 E MOUNTAIN ST
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City | PASADENA
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State | CA
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Zip | 91104-3421
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Country | US
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Telephone | 626-622-1787
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33917
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License Number State | CA
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