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General NPI Number Information
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NPI Number | 1851254270
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Entity Type | Individual
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Provider Name | ANDRANIK ALAVERDYAN PMHNP
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Gender | Male
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5130 KLUMP AVE # K710
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-5048
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Country | US
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Telephone | 818-618-6229
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Fax |
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Provider Business Mailing Address
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Address Line | 5130 KLUMP AVE # K710
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91601-5048
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Country | US
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Telephone | 818-618-6229
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95037699
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License Number State | CA
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