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General NPI Number Information
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NPI Number | 1457430399
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Entity Type | Individual
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Provider Name | ARMAND BOUZAGLOU M.D
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 10226 LAKEWOOD BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-2874
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Country | US
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Telephone | 626-331-6866
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Fax | 626-331-6773
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Provider Business Mailing Address
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Address Line | 10226 LAKEWOOD BLVD
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City | DOWNEY
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State | CA
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Zip | 90241-2874
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Country | US
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Telephone | 263-316-8666
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Fax | 626-331-6773
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | DR.0068157
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2471R0002X
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Taxonomy Name | Radiation Therapy Radiologic Technologist
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License Number | DR.0068157
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | HG26098
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License Number State | CA
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