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General NPI Number Information
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NPI Number | 1932527306
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Entity Type | Individual
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Provider Name | ARMEN JIRAIR MOUGHAMIAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 45 CASTRO ST STE 220
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1027
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Country | US
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Telephone | 415-600-5555
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Fax | 415-558-7035
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Provider Business Mailing Address
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Address Line | 325 DISTEL CIR
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City | LOS ALTOS
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State | CA
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Zip | 94022-1408
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Country | US
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Telephone | 415-600-5555
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Fax | 415-558-7035
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A139500
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License Number State | CA
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