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General NPI Number Information
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NPI Number | 1760124556
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Entity Type | Individual
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Provider Name | ARAKSIA ADZHYAN FNP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 851 N HOLLYWOOD WAY
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City | BURBANK
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State | CA
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Zip | 91505-2814
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Country | US
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Telephone | 818-357-5886
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Fax |
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Provider Business Mailing Address
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Address Line | 12931 BLYTHE ST
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-1945
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Country | US
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Telephone | 818-921-0874
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95015499
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License Number State | CA
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