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General NPI Number Information
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NPI Number | 1902964794
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Entity Type | Organization
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Legal Business Name | HAIG MINASSIAN M D INC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 12291 WASHINGTON BLVD SUITE 102
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City | WHITTIER
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State | CA
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Zip | 90606-2500
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Country | US
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Telephone | 562-698-0670
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Fax | 562-698-5046
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Provider Business Mailing Address
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Address Line | 12291 WASHINGTON BLVD SUITE 102
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City | WHITTIER
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State | CA
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Zip | 90606-2500
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Country | US
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Telephone | 562-696-9265
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Fax | 877-887-8750
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HAIG V MINASSIAN
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Credential | M.D.
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Telephone | 562-698-0670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | G25816
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License Number State | CA
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