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General NPI Number Information
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NPI Number | 1205125804
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Entity Type | Individual
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Provider Name | VAHE MICHAEL AZARIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 985 W VERNON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-3038
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Country | US
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Telephone | 323-234-6300
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Fax | 323-234-0100
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Provider Business Mailing Address
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Address Line | 985 W VERNON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-3038
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Country | US
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Telephone | 323-234-6300
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A125140
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License Number State | CA
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