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General NPI Number Information
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NPI Number | 1891150124
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Entity Type | Individual
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Provider Name | SYUZI SARKSIAN M. S. W.
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Gender | Female
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 12/31/2015
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Provider Practice Location Address
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Address Line | 349 E AVENUE K6
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City | LANCASTER
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State | CA
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Zip | 93535-4508
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Country | US
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Telephone | 661-723-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 8121 GROVE ST
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City | SUNLAND
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State | CA
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Zip | 91040-2113
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Country | US
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Telephone | 818-281-7187
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 68867
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License Number State | CA
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