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General NPI Number Information
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NPI Number | 1578087599
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Entity Type | Organization
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Legal Business Name | ARMAN TCHOUKADARIAN D.C. PROFESSIONAL CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 610 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91101-1220
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Country | US
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Telephone | 626-585-1616
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Fax | 626-585-1686
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Provider Business Mailing Address
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Address Line | 610 N LAKE AVE
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City | PASADENA
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State | CA
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Zip | 91101-1220
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Country | US
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Telephone | 626-585-1616
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Fax | 626-585-1686
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ARMAN TCHOUKADARIAN
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Credential | DC
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Telephone | 626-585-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33917
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License Number State | CA
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