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General NPI Number Information
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NPI Number | 1326088196
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Entity Type | Organization
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Legal Business Name | HEALTH GUARD IMAGING INC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12509 OXNARD ST 213
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-4467
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Country | US
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Telephone | 818-980-2169
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Fax | 818-980-2171
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Provider Business Mailing Address
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Address Line | 12509 OXNARD ST 213
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-4467
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Country | US
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Telephone | 818-980-2169
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Fax | 818-980-2171
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Authorized Official
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Title or Position | CEO
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Name | ROUBINA LOUSNIKIAN
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Credential |
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Telephone | 818-980-2169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | TG428
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License Number State | CA
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