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NPI 1467645887

NPI 1467645887 : HEALTH CHOICE DIAGNOSTICS : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1467645887
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH CHOICE DIAGNOSTICS 
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Dates
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    Enumeration Date     |    08/20/2007
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    Last Update Date     |    08/20/2007
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Provider Practice Location Address
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    Address Line         |    5011 HOLLYWOOD BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90027-6103
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    Country              |    US
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    Telephone            |    323-660-4408
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    Fax                  |    323-660-4495
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Provider Business Mailing Address
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    Address Line         |    5011 HOLLYWOOD BLVD 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90027-6103
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    Country              |    US
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    Telephone            |    323-660-4408
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    Fax                  |    323-660-4495
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Authorized Official
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    Title or Position    |    PROGRAM DIRECTOR
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    Name                 |     ARPINE  SASHIKYAN 
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    Credential           |    
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    Telephone            |    323-660-4408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    2780017
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    License Number State |    CA
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