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General NPI Number Information
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NPI Number | 1902017650
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Entity Type | Organization
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Legal Business Name | HAIG A. KOSHKARIAN M.D. INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 06/05/2013
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Provider Practice Location Address
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Address Line | 1020 PROSPECT ST STE. 415B
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City | LA JOLLA
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State | CA
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Zip | 92037-0068
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Country | US
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Telephone | 858-459-3696
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Fax | 858-270-6677
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Provider Business Mailing Address
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Address Line | 1020 PROSPECT ST STE. 415B
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City | LA JOLLA
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State | CA
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Zip | 92037-0068
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Country | US
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Telephone | 858-459-3696
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Fax | 858-270-6677
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Authorized Official
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Title or Position | PRESIDENT
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Name | HAIG ARAM KOSHKARIAN
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Credential | M.D.
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Telephone | 858-459-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
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License Number | G14651
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License Number State | CA
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