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General NPI Number Information
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NPI Number | 1740325570
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Entity Type | Organization
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Legal Business Name | HAROUT R BALIAN M D A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 333 N HILL AVE SUITE 101
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City | PASADENA
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State | CA
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Zip | 91106-1570
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Country | US
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Telephone | 626-449-9911
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Fax | 626-449-9921
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Provider Business Mailing Address
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Address Line | 333 N HILL AVE SUITE 101
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City | PASADENA
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State | CA
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Zip | 91106-1570
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Country | US
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Telephone | 626-449-9911
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Fax | 626-449-9921
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PATRICIA ANNE BALIAN
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Credential | RN
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Telephone | 626-449-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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