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General NPI Number Information
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NPI Number | 1174899587
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Entity Type | Organization
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Legal Business Name | RAZMIG KRUMIAN D.O. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/29/2012
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Last Update Date | 11/20/2012
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Provider Practice Location Address
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Address Line | 32144 AGOURA RD SUITE 218
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4031
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Country | US
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Telephone | 818-889-9230
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Fax | 818-889-9235
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Provider Business Mailing Address
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Address Line | 32144 AGOURA RD SUITE 218
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-4031
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Country | US
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Telephone | 818-889-9230
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Fax | 818-889-9235
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAZMIG KRUMIAN
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Credential | D.O.
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Telephone | 818-889-9230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 20A8716
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License Number State | CA
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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 | 20A7776
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License Number State | CA
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