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General NPI Number Information
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NPI Number | 1790090116
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Entity Type | Individual
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Provider Name | LILI GINOSYAN PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 08/10/2010
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Provider Practice Location Address
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Address Line | 17864 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-3615
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Country | US
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Telephone | 818-345-5456
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Fax |
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Provider Business Mailing Address
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Address Line | 4239 WHISPERING PINES CT
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City | ENCINO
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State | CA
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Zip | 91316-4459
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Country | US
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Telephone | 818-609-9021
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 53257
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License Number State | CA
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