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General NPI Number Information
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NPI Number | 1841477031
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Entity Type | Organization
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Legal Business Name | ZARGARYAN ACUPUNCTURE INC.
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 321 S BRAND BLVD.
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City | GLENDALE
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State | CA
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Zip | 91204
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Country | US
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Telephone | 818-507-0125
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Fax | 818-507-0126
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Provider Business Mailing Address
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Address Line | 805 E MAPLE ST., # 6
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City | GLENDALE
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State | CA
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Zip | 91205
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Country | US
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Telephone | 818-489-1272
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARINA ZARGARYAN
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Credential | L.AC.
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Telephone | 818-489-1272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC8763
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License Number State | CA
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