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General NPI Number Information
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NPI Number | 1770213316
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Entity Type | Organization
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Legal Business Name | LA NURSING
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 20742 BLACKHAWK ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-2407
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Country | US
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Telephone | 747-999-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 20740 BLACKHAWK ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-2407
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Country | US
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Telephone | 747-999-8811
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Fax |
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Authorized Official
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Title or Position | CEO/CFO
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Name | SYUZANNA PETROSYAN
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Credential |
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Telephone | 747-999-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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License Number State |
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