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General NPI Number Information
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NPI Number | 1841004710
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Entity Type | Individual
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Provider Name | ANAIT ANAIS DUDUYAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 140 N VICTORY BLVD STE 105
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City | BURBANK
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State | CA
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Zip | 91502-1848
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Country | US
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Telephone | 818-841-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 8404 WAKEFIELD AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3749
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Country | US
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Telephone | 818-331-5633
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95029219
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 95194429
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License Number State | CA
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