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General NPI Number Information
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NPI Number | 1164992343
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Entity Type | Organization
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Legal Business Name | GEVORGYAN MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 11/29/2018
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Provider Practice Location Address
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Address Line | 3535 SAN DIMAS ST STE 14
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City | BAKERSFIELD
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State | CA
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Zip | 93301-1694
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Country | US
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Telephone | 661-522-0043
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Fax | 661-885-8086
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Provider Business Mailing Address
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Address Line | 11106 PATAGONIA WAY
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City | BAKERSFIELD
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State | CA
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Zip | 93306-7412
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Country | US
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Telephone | 323-353-8708
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Fax | 661-885-8086
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GOHAR GEVORGYAN
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Credential | MD
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Telephone | 661-522-0043
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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 |
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License Number State |
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