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General NPI Number Information
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NPI Number | 1952728164
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Entity Type | Individual
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Provider Name | SEVAG KALINJIAN DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 18406 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4107
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Country | US
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Telephone | 818-885-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 DATA DR ATTN: CREDENTIALING/PAYER ENROLLMENT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7953
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Country | US
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Telephone |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 20A14348
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License Number State | CA
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