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General NPI Number Information
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NPI Number | 1457815904
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Entity Type | Organization
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Legal Business Name | LILIT AVETYAN CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 401 S GLENOAKS BLVD STE 108
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City | BURBANK
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State | CA
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Zip | 91502-2707
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Country | US
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Telephone | 818-433-7339
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Fax | 818-433-7341
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Provider Business Mailing Address
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Address Line | 401 S GLENOAKS BLVD STE 108
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City | BURBANK
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State | CA
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Zip | 91502-2707
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Country | US
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Telephone | 818-433-7339
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Fax | 818-433-7341
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. LILIT AVETYAN
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Credential | DC
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Telephone | 818-433-7339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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