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General NPI Number Information
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NPI Number | 1528181831
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Entity Type | Organization
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Legal Business Name | DUGLAS HEALTH CARE INC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 1404 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90026-3432
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Country | US
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Telephone | 213-250-9364
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Fax | 213-250-9376
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Provider Business Mailing Address
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Address Line | 1404 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90026-3432
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Country | US
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Telephone | 213-250-9364
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Fax | 213-250-9376
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Authorized Official
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Title or Position | PRESEDENT
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Name | MR. GAYANE NALCHADZHYAN
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Credential |
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Telephone | 818-667-6903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 000219155700019
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License Number State | CA
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