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General NPI Number Information
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NPI Number | 1518145689
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Entity Type | Organization
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Legal Business Name | PAUL G HOVSEPIAN MD,INC
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 650 W DUARTE RD #209G
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City | ARCADIA
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State | CA
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Zip | 91007-7617
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Country | US
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Telephone | 626-446-2200
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Fax | 626-446-2223
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Provider Business Mailing Address
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Address Line | 650 W DUARTE RD #209G
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City | ARCADIA
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State | CA
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Zip | 91007-7617
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Country | US
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Telephone | 626-446-2200
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Fax | 626-446-2223
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Authorized Official
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Title or Position | OWNER
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Name | PAUL G HOVSEPIAN
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Credential | MD
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Telephone | 626-446-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A41173
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License Number State | CA
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