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General NPI Number Information
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NPI Number | 1265564496
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Entity Type | Organization
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Legal Business Name | J.H.S. MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 1030 S GLENDALE AVE STE 404
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City | GLENDALE
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State | CA
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Zip | 91205-2866
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Country | US
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Telephone | 818-240-9911
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Fax | 818-240-9939
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Provider Business Mailing Address
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Address Line | 1030 S GLENDALE AVE STE 404
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City | GLENDALE
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State | CA
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Zip | 91205-2866
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Country | US
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Telephone | 818-240-9911
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Fax | 818-240-9939
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. MARIA SARKISAN
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Credential | PHARMACIST
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Telephone | 818-240-9911
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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 | A43433
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License Number State | CA
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