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General NPI Number Information
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NPI Number | 1710893821
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Entity Type | Organization
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Legal Business Name | ST MEDICAL GROUP
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 13226 MILLRACE ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-3717
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Country | US
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Telephone | 213-308-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 13226 MILLRACE ST
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City | SUN VALLEY
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State | CA
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Zip | 91352-3717
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Country | US
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Telephone | 213-308-9322
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | HAKOP TATURYAN
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Credential |
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Telephone | 818-395-3666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number |
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License Number State |
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