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General NPI Number Information
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NPI Number | 1760202337
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Entity Type | Organization
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Legal Business Name | MY PERSONAL DOC, P.C.
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 21050 CENTRE POINTE PKWY STE 16
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City | SANTA CLARITA
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State | CA
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Zip | 91350-2976
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Country | US
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Telephone | 661-388-3880
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Fax | 661-888-5824
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Provider Business Mailing Address
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Address Line | 21050 CENTRE POINTE PKWY STE 16
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City | SANTA CLARITA
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State | CA
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Zip | 91350-2976
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Country | US
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Telephone | 661-388-3880
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Fax | 661-881-5824
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Authorized Official
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Title or Position | CEO
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Name | VLADIMIR JANVELIAN
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Credential | MD
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Telephone | 661-388-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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