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General NPI Number Information
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NPI Number | 1588894851
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Entity Type | Organization
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Legal Business Name | MOBIL CARE DIAGNOSTIC INC.
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 10/23/2009
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Provider Practice Location Address
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Address Line | 1614 VICTORY BLVD SUITE 103
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City | GLENDALE
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State | CA
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Zip | 91201-2946
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Country | US
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Telephone | 818-502-0101
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Fax | 818-502-9911
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Provider Business Mailing Address
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Address Line | 1614 VICTORY BLVD SUITE 103
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City | GLENDALE
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State | CA
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Zip | 91201-2946
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Country | US
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Telephone | 818-502-0101
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Fax | 818-502-9911
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Authorized Official
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Title or Position | OWNER
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Name | ASATUR INJUGHLYAN
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Credential |
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Telephone | 818-502-0101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2279P1004X
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Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
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License Number |
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License Number State |
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