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General NPI Number Information
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NPI Number | 1851764682
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Entity Type | Organization
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Legal Business Name | DEFT SOLUTIONS
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Dates
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Enumeration Date | 11/02/2015
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Last Update Date | 11/02/2015
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Provider Practice Location Address
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Address Line | 15128 BURBANK BLVD 210
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City | SBERMAN OAKS
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State | CA
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Zip | 91411
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Country | US
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Telephone | 818-731-0043
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Fax |
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Provider Business Mailing Address
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Address Line | 15128 BURBANK BLVD APT 210
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-3541
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Country | US
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Telephone | 818-731-0043
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT SAMVELYAN
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Credential | ST
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Telephone | 818-731-0043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | CA
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