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General NPI Number Information
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NPI Number | 1255357000
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Entity Type | Organization
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Legal Business Name | CARE AMERICA CLINICAL LAB INC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 3514 W VICTORY BLVD STE B
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City | BURBANK
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State | CA
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Zip | 91505-1501
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Country | US
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Telephone | 818-566-1626
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Fax | 818-841-1687
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Provider Business Mailing Address
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Address Line | 3514 W VICTORY BLVD STE B
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City | BURBANK
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State | CA
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Zip | 91505-1501
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Country | US
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Telephone | 818-566-1626
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Fax | 818-841-1687
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANOUSH PAPAZIAN
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Credential | PHLEBOTOMIST
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Telephone | 818-566-1626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLF11737
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License Number State | CA
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