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General NPI Number Information
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NPI Number | 1356815930
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Entity Type | Individual
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Provider Name | ANAHIT KRIVANOS
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Gender | Female
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 18740 VENTURA BLVD STE 209
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City | TARZANA
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State | CA
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Zip | 91356-6354
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Country | US
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Telephone | 818-667-8838
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Fax | 855-221-7773
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Provider Business Mailing Address
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Address Line | 4522 WOODMAN AVE APT C112
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-5589
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Country | US
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Telephone | 818-667-8838
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Fax | 855-221-7773
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | CA
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