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General NPI Number Information
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NPI Number | 1407930761
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Entity Type | Individual
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Provider Name | RIMA MATEVOSIAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14445 OLIVE VIEW DR 3A 113 DEPARTMENT OF ANESTHESIOLOGY
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City | SYLMAR
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State | CA
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Zip | 91342-1437
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Country | US
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Telephone | 818-364-4350
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Fax |
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Provider Business Mailing Address
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Address Line | 1934 RIMCREST DR
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City | GLENDALE
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State | CA
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Zip | 91207-1044
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Country | US
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Telephone | 818-243-3821
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A42530
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License Number State | CA
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