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General NPI Number Information
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NPI Number | 1548619331
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Entity Type | Organization
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Legal Business Name | NATALIE GOLD, INC.
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 140 N. SAN FERNANDO RD
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City | BURBANK
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State | CA
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Zip | 91502
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Country | US
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Telephone | 818-926-9156
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Fax |
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Provider Business Mailing Address
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Address Line | 140 N SAN FERNANDO BLVD
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City | BURBANK
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State | CA
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Zip | 91502-1207
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Country | US
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Telephone | 818-926-9156
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KARINA NAZARIAN
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Credential |
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Telephone | 818-926-9156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 53938
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License Number State | CA
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