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General NPI Number Information
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NPI Number | 1922425693
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Entity Type | Organization
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Legal Business Name | VAHAGN OVASAPYAN
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 2930 FAIRWAY AVE UNIT 101
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City | LA CRESCENTA
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State | CA
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Zip | 91214-4325
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Country | US
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Telephone | 818-303-4945
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Fax |
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Provider Business Mailing Address
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Address Line | 2930 FAIRWAY AVE UNIT 101
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City | LA CRESCENTA
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State | CA
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Zip | 91214-4325
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Country | US
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Telephone | 818-303-4945
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHARMACY
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Name | DR. VAHAGN OVASAPYAN
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Credential | PHARM D
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Telephone | 818-303-4945
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 63170
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License Number State | CA
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