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General NPI Number Information
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NPI Number | 1639349319
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Entity Type | Organization
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Legal Business Name | HOVIK TAYMOORIAN DO PA
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 8028 RITCHIE HWY SUITE 126
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City | PASADENA
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State | MD
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Zip | 21122-1075
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Country | US
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Telephone | 410-768-6702
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Fax | 410-768-6704
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Provider Business Mailing Address
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Address Line | 8028 RITCHIE HWY SUITE 126
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City | PASADENA
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State | MD
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Zip | 21122-1075
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Country | US
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Telephone | 410-768-6702
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Fax | 410-768-6704
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Authorized Official
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Title or Position | MANAGER
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Name | DANIELLE ROSE TAYMOORIAN
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Credential |
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Telephone | 410-768-6702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | H0054974
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License Number State | MD
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