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General NPI Number Information
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NPI Number | 1386381903
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Entity Type | Organization
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Legal Business Name | PI URGENT MD INC
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 5651 SEPULVEDA BLVD STE 102
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-2954
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Country | US
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Telephone | 818-373-0200
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Fax | 818-373-0215
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Provider Business Mailing Address
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Address Line | 5651 SEPULVEDA BLVD STE 102
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-2954
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Country | US
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Telephone | 818-373-0200
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Fax | 818-373-0215
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRIKOR B TATOYAN
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Credential | MD
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Telephone | 818-373-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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