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General NPI Number Information
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NPI Number | 1386954154
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Entity Type | Organization
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Legal Business Name | ALBERT BAKTANIAN MD INC APMC
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 1030 S GLENDALE AVE SUITE 505
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City | GLENDALE
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State | CA
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Zip | 91205-5612
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Country | US
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Telephone | 818-500-0888
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Fax | 818-500-4807
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Provider Business Mailing Address
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Address Line | 1030 S GLENDALE AVE SUITE 505
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City | GLENDALE
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State | CA
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Zip | 91205-5612
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Country | US
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Telephone | 818-500-0888
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Fax | 818-500-4807
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERT BAKTANIAN
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Credential | MD
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Telephone | 818-500-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A41358
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License Number State | CA
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