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General NPI Number Information
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NPI Number | 1932831104
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Entity Type | Organization
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Legal Business Name | HEALTH GOALS MONITORING
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Dates
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Enumeration Date | 06/27/2022
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Last Update Date | 06/27/2022
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Provider Practice Location Address
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Address Line | 16661 VENTURA BLVD STE 313
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City | ENCINO
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State | CA
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Zip | 91436-1956
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Country | US
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Telephone | 818-823-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 21500 BURBANK BLVD APT 235
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7050
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Country | US
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Telephone | 818-823-9060
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | SAEID KARANDISH
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Credential | M.D
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Telephone | 818-823-9060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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