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General NPI Number Information
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NPI Number | 1740589498
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Entity Type | Organization
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Legal Business Name | MISAK H. ABDULIAN, M.D., INC
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 1300 N VERMONT AVE SUITE 702
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-660-5576
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Fax | 323-664-4145
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Provider Business Mailing Address
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Address Line | 1300 N VERMONT AVE SUITE 702
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City | LOS ANGELES
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State | CA
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Zip | 90027-6005
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Country | US
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Telephone | 323-660-5576
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Fax | 323-664-4145
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Authorized Official
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Title or Position | MEDICAL PROVADER
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Name | DR. MISAK HOVANESS ABDULIAN
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Credential | M.D.
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Telephone | 323-660-5576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | CA
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