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General NPI Number Information
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NPI Number | 1225236516
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Entity Type | Individual
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Provider Name | JULIE KAY KASARJIAN M.D., PH.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 5870 ARLINGTON AVE
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City | RIVERSIDE
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State | CA
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Zip | 92504-2037
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Country | US
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Telephone | 951-683-6596
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Fax |
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Provider Business Mailing Address
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Address Line | 901 SUNSET HILLS LN
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City | REDLANDS
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State | CA
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Zip | 92373-6964
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Country | US
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Telephone | 310-987-6776
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A98419
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License Number State | CA
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