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General NPI Number Information
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NPI Number | 1689362931
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Entity Type | Organization
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Legal Business Name | SERINE MKRTCHYAN, O. D. OPTOMETRY INC.
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Dates
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Enumeration Date | 04/25/2023
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 15336 DEVONSHIRE ST STE 4
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City | MISSION HILLS
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State | CA
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Zip | 91345-2763
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Country | US
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Telephone | 818-962-1538
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Fax |
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Provider Business Mailing Address
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Address Line | 15435 VANOWEN ST APT 102
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City | VAN NUYS
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State | CA
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Zip | 91406-6398
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Country | US
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Telephone | 818-573-4867
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SERINE MKRTCHYAN
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Credential | OD
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Telephone | 818-573-4867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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