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General NPI Number Information
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NPI Number | 1689386138
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Entity Type | Individual
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Provider Name | LUSINE AMIRYAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 6007 LANKERSHIM BLVD STE 7
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-4883
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Country | US
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Telephone | 818-763-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 1229 N BRONSON AVE APT 206
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City | LOS ANGELES
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State | CA
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Zip | 90038-2065
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Country | US
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Telephone | 323-461-0734
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 87320
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License Number State | CA
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