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General NPI Number Information
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NPI Number | 1831842012
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Entity Type | Individual
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Provider Name | LILIT MARY CHAMICHYAN NP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1907 E WASHINGTON BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90021-3206
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Country | US
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Telephone | 213-747-7667
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Fax |
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Provider Business Mailing Address
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Address Line | 2413 N ORCHARD DR
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City | BURBANK
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State | CA
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Zip | 91504-2208
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Country | US
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Telephone | 818-259-0206
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 95018794
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License Number State | CA
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