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General NPI Number Information
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NPI Number | 1891448874
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Entity Type | Organization
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Legal Business Name | SAM VAZIRI VANCE INC.
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 7119 1/2 W SUNSET BLVD FL 2
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City | LOS ANGELES
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State | CA
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Zip | 90046-4411
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Country | US
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Telephone | 310-600-0097
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Fax |
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Provider Business Mailing Address
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Address Line | 7119 1/2 W SUNSET BLVD FL 2
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City | LOS ANGELES
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State | CA
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Zip | 90046-4411
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | MRS. ALINA KIEVSKY
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Credential | NP-C
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Telephone | 310-600-0097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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