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General NPI Number Information
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NPI Number | 1205537495
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Entity Type | Individual
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Provider Name | ALEK KHACHIKYAN NP
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Gender | Male
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 2701 W ALAMEDA AVE STE 300
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City | BURBANK
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State | CA
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Zip | 91505-4408
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Country | US
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Telephone | 818-650-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 227 S BEL AIRE DR
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City | BURBANK
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State | CA
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Zip | 91501-1423
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Country | US
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Telephone | 818-748-7030
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95024448
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License Number State | CA
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