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General NPI Number Information
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NPI Number | 1194521476
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Entity Type | Organization
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Legal Business Name | KOVAIAN NURSING CORPORATION
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 430 E AVENIDA DE LOS ARBOLES STE 101
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-3017
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Country | US
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Telephone | 805-241-0151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7001
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City | TARZANA
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State | CA
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Zip | 91357-7001
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Country | US
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Telephone | 818-888-7815
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Fax | 818-715-1722
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Authorized Official
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Title or Position | PRESIDENT
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Name | SIONEH KOVAIAN
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Credential | CRNA
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Telephone | 818-317-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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