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General NPI Number Information
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NPI Number | 1831043314
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Entity Type | Individual
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Provider Name | ELIZABETH BALASANYAN NP
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Gender | Female
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 509 1/2 E BROADWAY
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City | GLENDALE
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State | CA
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Zip | 91205-1110
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Country | US
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Telephone | 818-855-8403
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Fax |
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Provider Business Mailing Address
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Address Line | 13309 WOODBRIDGE ST APT 402
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-6243
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Country | US
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Telephone | 818-357-6610
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95025313
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License Number State | CA
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