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General NPI Number Information
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NPI Number | 1376729699
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Entity Type | Organization
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Legal Business Name | AVANGARD SOUZ BUSINESS, INC.
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 23120 LYONS AVE SUITE 8
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City | NEWHALL
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State | CA
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Zip | 91321-2668
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Country | US
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Telephone | 661-799-9555
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Fax | 661-799-0553
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Provider Business Mailing Address
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Address Line | 23120 LYONS AVE SUITE 8
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City | NEWHALL
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State | CA
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Zip | 91321-2668
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Country | US
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Telephone | 661-799-9555
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Fax | 661-799-0553
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARA AROUTYUONIAN
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Credential |
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Telephone | 661-799-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 48761
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License Number State | CA
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