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General NPI Number Information
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NPI Number | 1154141588
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Entity Type | Organization
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Legal Business Name | NEXTGEN REGENERATIVE THERAPY INC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 4605 LANKERSHIM BLVD STE 305
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City | N HOLLYWOOD
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State | CA
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Zip | 91602-1875
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Country | US
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Telephone | 443-686-9999
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Fax |
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Provider Business Mailing Address
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Address Line | 4605 LANKERSHIM BLVD STE 305
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City | N HOLLYWOOD
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State | CA
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Zip | 91602-1875
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Country | US
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Telephone | 443-686-9999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN ALEKSANYAN
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Credential |
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Telephone | 818-476-2017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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