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General NPI Number Information
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NPI Number | 1780926550
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Entity Type | Organization
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Legal Business Name | PANACEA GROUP, INC.
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 5419 W SUNSET BLVD STE 235
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City | LOS ANGELES
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State | CA
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Zip | 90027-5691
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Country | US
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Telephone | 818-548-4906
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Fax | 818-548-5749
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Provider Business Mailing Address
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Address Line | 5419 W SUNSET BLVD STE 235
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City | LOS ANGELES
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State | CA
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Zip | 90027-5691
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Country | US
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Telephone | 818-548-4906
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Fax | 818-548-5749
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Authorized Official
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Title or Position | CEO
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Name | DR. SIMON KARIMIAN
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Credential |
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Telephone | 323-333-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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