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General NPI Number Information
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NPI Number | 1851561807
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Entity Type | Individual
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Provider Name | KARMEN SERGEI TATULIAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 8902 WOODMAN AVE
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City | ARLETA
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State | CA
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Zip | 91331-6401
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Country | US
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Telephone | 818-830-7033
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Fax |
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Provider Business Mailing Address
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Address Line | 8902 WOODMAN AVENUE EL PROYECTO DEL BARRIO, INC.
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City | ARLETA
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State | CA
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Zip | 91331
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Country | US
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Telephone | 818-830-7033
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A 101992
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License Number State | CA
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