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General NPI Number Information
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NPI Number | 1932878881
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Entity Type | Organization
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Legal Business Name | TIRALINE HEALTH SERVICES INC.
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 7824 RANCHITO AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6524
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Country | US
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Telephone | 818-939-2471
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Fax |
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Provider Business Mailing Address
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Address Line | 7824 RANCHITO AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6524
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Country | US
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Telephone | 818-939-2471
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ZARUI MIDURYAN
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Credential |
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Telephone | 818-939-2471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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