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General NPI Number Information
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NPI Number | 1528199627
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Entity Type | Individual
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Provider Name | VICKEN P. SEPILIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5455 WILSHIRE BLVD STE 1904
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City | LOS ANGELES
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State | CA
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Zip | 90036-4241
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Country | US
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Telephone | 323-525-3377
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Fax | 323-525-3376
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Provider Business Mailing Address
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Address Line | 5455 WILSHIRE BLVD STE 1904
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City | LOS ANGELES
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State | CA
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Zip | 90036-4241
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Country | US
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Telephone | 323-525-3377
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Fax | 323-525-3376
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | A83889
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License Number State | CA
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