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General NPI Number Information
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NPI Number | 1942563804
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Entity Type | Organization
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Legal Business Name | HEALTHCARE MEDICAL MANAGEMENT SERVICES, INC.
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 1511 N MARIPOSA AVE APT 6
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City | LOS ANGELES
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State | CA
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Zip | 90027-6227
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Country | US
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Telephone | 323-527-4553
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 N MARIPOSA AVE APT 6
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City | LOS ANGELES
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State | CA
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Zip | 90027-6227
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Country | US
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Telephone | 323-527-4553
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS MARIANNA SIMIKYAN
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Credential |
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Telephone | 323-527-4553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 0002578762-0001-6
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License Number State | CA
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