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General NPI Number Information
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NPI Number | 1285513929
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Entity Type | Organization
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Legal Business Name | STS CLINIC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 22048 SHERMAN WAY STE 112
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City | CANOGA PARK
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State | CA
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Zip | 91303-1893
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Country | US
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Telephone | 818-522-1737
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Fax | 818-522-1737
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Provider Business Mailing Address
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Address Line | 22048 SHERMAN WAY STE 112
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City | CANOGA PARK
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State | CA
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Zip | 91303-1893
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Country | US
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Telephone | 818-522-1737
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SVETLANA TUMANYAN
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Credential |
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Telephone | 818-522-1737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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