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General NPI Number Information
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NPI Number | 1609284660
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Entity Type | Individual
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Provider Name | ARMEN AIVAZI MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3335 DEER CREEK LN
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City | GLENDALE
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State | CA
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Zip | 91208-1166
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Country | US
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Telephone | 310-222-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 9998 CROSSPOINT BLVD STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-3307
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Country | US
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Telephone | 317-806-8260
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Fax | 317-806-8296
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01083380A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A138112
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License Number State | CA
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