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General NPI Number Information
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NPI Number | 1285876383
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Entity Type | Organization
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Legal Business Name | MONNE INC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 11755 VICTORY BLVD SUITE 208
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3423
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Country | US
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Telephone | 818-985-0100
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Fax | 818-985-0107
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Provider Business Mailing Address
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Address Line | 11755 VICTORY BLVD SUITE 208
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3423
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Country | US
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Telephone | 818-985-0100
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Fax | 818-985-0107
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Authorized Official
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Title or Position | CEO
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Name | MRS. HASMIK MOUSHEGHIAN
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Credential | ARDMS
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Telephone | 18189850100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 92964
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License Number State | CA
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