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General NPI Number Information
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NPI Number | 1578901237
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Entity Type | Organization
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Legal Business Name | COMCARE PRIMARY MEDICAL GROUP A CALIFORNIA GENERAL PARTNERSHIP
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 333 E MAGNOLIA BLVD STE 103
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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 | 818-279-3562
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Fax |
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Provider Business Mailing Address
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Address Line | 134 N GLENDALE AVE
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City | GLENDALE
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State | CA
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Zip | 91206-4451
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Country | US
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Telephone | 818-279-3562
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ARMINE ARZOUMANIAN
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Credential |
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Telephone | 747-241-8783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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