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General NPI Number Information
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NPI Number | 1467342535
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Entity Type | Individual
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Provider Name | OVSANNA ANNA BALIAN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 426 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2119
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Country | US
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Telephone | 213-626-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 958 N MENTOR AVE
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City | PASADENA
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State | CA
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Zip | 91104-3818
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Country | US
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Telephone | 626-567-9927
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW125158
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License Number State | CA
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