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General NPI Number Information
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NPI Number | 1518748458
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Entity Type | Individual
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Provider Name | DIANA MELKUMYAN FNP
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Gender | Female
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Dates
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Enumeration Date | 10/06/2023
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Last Update Date | 01/04/2026
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Provider Practice Location Address
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Address Line | 1545 N VERDUGO RD STE 108
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City | GLENDALE
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State | CA
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Zip | 91208-2858
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Country | US
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Telephone | 747-215-6714
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Fax | 747-215-2372
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Provider Business Mailing Address
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Address Line | 255 E ORANGE GROVE AVE STE D
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City | BURBANK
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State | CA
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Zip | 91502-1240
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Country | US
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Telephone | 747-262-1155
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Fax | 747-262-1154
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95027412
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95027412
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License Number State | CA
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