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General NPI Number Information
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NPI Number | 1215647623
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Entity Type | Organization
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Legal Business Name | EUPNIC CORPORATION
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 1920 N FAIR OAKS AVE
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City | PASADENA
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State | CA
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Zip | 91103-1623
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Country | US
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Telephone | 626-798-6777
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Fax | 626-798-7742
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Provider Business Mailing Address
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Address Line | 10573 W PICO BLVD # 224
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City | LOS ANGELES
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State | CA
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Zip | 90064-2333
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Country | US
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Telephone | 310-995-7790
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN SOLYMANIJAM
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Credential | MD
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Telephone | 310-995-7790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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