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General NPI Number Information
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NPI Number | 1710231279
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Entity Type | Organization
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Legal Business Name | CYRUS R LAVIAN, M.D., INC
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 16020 VALLEY WOOD RD SUITE 110
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-4737
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Country | US
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Telephone | 818-510-3126
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Fax |
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Provider Business Mailing Address
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Address Line | 16020 VALLEY WOOD RD
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-4737
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Country | US
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Telephone | 818-510-3126
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CYRUS R LAVIAN
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Credential | MD
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Telephone | 818-510-3126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | CA
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