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General NPI Number Information
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NPI Number | 1831356732
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Entity Type | Individual
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Provider Name | JAMES HAGOP TABIBIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1505 WILSON TER STE 300
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City | GLENDALE
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State | CA
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Zip | 91206-4073
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Country | US
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Telephone | 818-630-8653
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 WILSON TER STE 300
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City | GLENDALE
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State | CA
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Zip | 91206-4073
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Country | US
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Telephone | 818-630-8653
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 53489
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 104918
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A142008
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License Number State | CA
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