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General NPI Number Information
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NPI Number | 1932873692
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Entity Type | Individual
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Provider Name | ALEKSANDR OHANYAN
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Gender | Male
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 08/05/2021
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Provider Practice Location Address
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Address Line | 22736 VANOWEN ST # 209A
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City | WEST HILLS
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State | CA
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Zip | 91307-2650
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Country | US
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Telephone | 209-500-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 22736 VANOWEN ST # 209A
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City | WEST HILLS
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State | CA
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Zip | 91307-2650
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Country | US
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Telephone | 209-500-0005
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Fax |
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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