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General NPI Number Information
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NPI Number | 1194464693
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Entity Type | Individual
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Provider Name | MRS. KARINE SETYAN
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Gender | Female
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 17075 DEVONSHIRE ST
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1600
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Country | US
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Telephone | 818-368-8572
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Fax |
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Provider Business Mailing Address
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Address Line | 17221 ROSCOE BLVD UNIT 4
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4031
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Country | US
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Telephone | 818-731-3159
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95021144
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 95144166
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License Number State | CA
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