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General NPI Number Information
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NPI Number | 1538893151
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Entity Type | Individual
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Provider Name | MAYRANUSH ASLIBEKYAN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 13654 VICTORY BLVD # F-553
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City | VAN NUYS
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State | CA
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Zip | 91401-1738
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Country | US
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Telephone | 818-800-0766
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Fax |
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Provider Business Mailing Address
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Address Line | 13654 VICTORY BLVD STE F-554
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City | VAN NUYS
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State | CA
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Zip | 91401-1738
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Country | US
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Telephone |
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95023435
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95152845
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License Number State | CA
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