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General NPI Number Information
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NPI Number | 1790849883
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Entity Type | Individual
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Provider Name | BESSY M MARTIROSYAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 141 S CEDAR ST
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City | GLENDALE
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State | CA
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Zip | 91205-1207
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Country | US
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Telephone | 818-839-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 26 BRYON RD APT. #1
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-3333
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Country | US
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Telephone | 617-789-3000
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 226796
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License Number State | MA
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