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General NPI Number Information
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NPI Number | 1780750612
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Entity Type | Organization
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Legal Business Name | GO DIAGNOSTICS INC
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7159 KATELLA AVE
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City | STANTON
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State | CA
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Zip | 90680
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Country | US
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Telephone | 714-527-7775
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Fax |
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Provider Business Mailing Address
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Address Line | 7159 KATELLA AVE
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City | STANTON
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State | CA
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Zip | 90680
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GHEVORK OGANYAN
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Credential |
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Telephone | 818-606-6795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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