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General NPI Number Information
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NPI Number | 1770600587
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Entity Type | Organization
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Legal Business Name | SVETLANA GALUSTYAN
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Dates
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Enumeration Date | 03/25/2007
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Last Update Date | 10/08/2007
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Provider Practice Location Address
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Address Line | 5406 BIRDWOOD RD
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City | HOUSTON
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State | TX
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Zip | 77096-2204
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Country | US
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Telephone | 832-778-8255
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Fax | 832-778-8247
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Provider Business Mailing Address
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Address Line | 5406 BIRDWOOD RD
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City | HOUSTON
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State | TX
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Zip | 77096-2204
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Country | US
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Telephone | 832-778-8255
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Fax | 832-778-8247
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Authorized Official
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Title or Position | OWNER
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Name | MS. SVETLANA GALUSTYAN
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Credential |
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Telephone | 832-372-0972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 800237
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License Number State | TX
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