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General NPI Number Information
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NPI Number | 1245401819
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Entity Type | Individual
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Provider Name | NANA BARSEGHIAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 14457 ROSCOE BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3012
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Country | US
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Telephone | 818-810-5947
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Fax | 818-810-5904
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Provider Business Mailing Address
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Address Line | 14457 ROSCOE BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3012
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Country | US
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Telephone | 818-810-5947
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Fax | 818-810-5904
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A102005
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A102005
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License Number State | CA
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