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General NPI Number Information
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NPI Number | 1154021368
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Entity Type | Organization
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Legal Business Name | ANAIS CHORBADJIAN OD, A PROFESSIONAL CORP
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 602 N MACLAY AVE UNIT A
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2137
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Country | US
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Telephone | 818-606-3554
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Fax |
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Provider Business Mailing Address
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Address Line | 602 N MACLAY AVE UNIT A
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City | SAN FERNANDO
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State | CA
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Zip | 91340-2137
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Country | US
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Telephone | 818-606-3554
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ANAIS CHORBADJIAN
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Credential | OD
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Telephone | 818-606-3554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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