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General NPI Number Information
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NPI Number | 1245939719
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Entity Type | Organization
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Legal Business Name | ALEXANDER G GEVORGYAN MD INC
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 23928 LYONS AVE STE 102
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City | SANTA CLARITA
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State | CA
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Zip | 91321-2452
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Country | US
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Telephone | 661-222-2326
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Fax | 661-222-9444
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Provider Business Mailing Address
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Address Line | 1332 S GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91205-3349
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Country | US
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Telephone | 818-649-9232
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXANDER GEVORGYAN
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Credential | MD
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Telephone | 818-649-9232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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