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General NPI Number Information
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NPI Number | 1629297585
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Entity Type | Organization
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Legal Business Name | LEON KUJMANIAN, M.D.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 1146 N. CENTRAL AVENUE, #522
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City | GLENDALE
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State | CA
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Zip | 91202
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Country | US
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Telephone | 818-500-0910
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Fax | 818-500-0914
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Provider Business Mailing Address
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Address Line | PO BOX 432
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City | GLENDALE
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State | CA
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Zip | 91209-0432
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Country | US
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Telephone | 818-500-0910
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEON KUJMANIAN
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Credential | M.D.
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Telephone | 818-500-0910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | A064159
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License Number State | CA
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