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General NPI Number Information
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NPI Number | 1346437571
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Entity Type | Organization
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Legal Business Name | POBEDA SERVICES, INC
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 7235 FOOTHILL BLVD
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City | TUJUNGA
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State | CA
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Zip | 91042-2718
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Country | US
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Telephone | 818-353-3224
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Fax | 818-353-1315
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Provider Business Mailing Address
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Address Line | 7235 FOOTHILL BLVD
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City | TUJUNGA
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State | CA
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Zip | 91042-2718
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Country | US
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Telephone | 818-353-3224
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Fax | 818-353-1315
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALVINA TENEKEDJIAN
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Credential |
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Telephone | 818-353-3224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 060000662
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License Number State | CA
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