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General NPI Number Information
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NPI Number | 1851673818
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Entity Type | Individual
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Provider Name | KEVORK SHAHE SHAHINIAN PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 9528 TOPANGA CANYON BLVD
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City | CHATSWORTH
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State | CA
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Zip | 91311-4011
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Country | US
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Telephone | 818-960-4664
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Fax | 818-960-4660
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Provider Business Mailing Address
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Address Line | 21935 BELLA VISTA PL
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City | CHATSWORTH
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State | CA
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Zip | 91311-2823
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Country | US
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Telephone | 818-634-7091
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 62778
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License Number State | CA
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