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General NPI Number Information
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NPI Number | 1750676037
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Entity Type | Organization
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Legal Business Name | ERNA INC
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 08/24/2012
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Provider Practice Location Address
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Address Line | 2201 W PICO BLVD STE G
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City | LOS ANGELES
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State | CA
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Zip | 90006-4837
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Country | US
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Telephone | 213-389-5858
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Fax | 213-389-5800
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Provider Business Mailing Address
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Address Line | 2201 W PICO BLVD STE G
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City | LOS ANGELES
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State | CA
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Zip | 90006-4837
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Country | US
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Telephone | 213-389-5858
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Fax | 213-389-5800
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERNA SUDZHYAN
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Credential |
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Telephone | 213-389-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 50717
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License Number State | CA
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