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General NPI Number Information
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NPI Number | 1396990735
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Entity Type | Organization
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Legal Business Name | NAIRA KOCHARIAN MD A PC
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 8650 GENESEE AVE # 214
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City | SAN DIEGO
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State | CA
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Zip | 92192-7157
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Country | US
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Telephone | 858-281-1588
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Fax |
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Provider Business Mailing Address
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Address Line | 8650 GENESEE AVE #214
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City | SAN DIEGO
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State | CA
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Zip | 92192-7157
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Country | US
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Telephone | 858-281-1588
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAIRA KOCHARIAN
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Credential | M.D.
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Telephone | 858-281-1588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A93881
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License Number State | CA
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