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General NPI Number Information
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NPI Number | 1972083178
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Entity Type | Organization
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Legal Business Name | NAREK GARUKYAN DPM
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 08/16/2018
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Provider Practice Location Address
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Address Line | 7640 TAMPA AVE STE 106
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City | RESEDA
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State | CA
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Zip | 91335-1713
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Country | US
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Telephone | 818-697-8767
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Fax | 818-697-8776
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Provider Business Mailing Address
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Address Line | 9518 VIA SALERNO
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City | BURBANK
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State | CA
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Zip | 91504-1229
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Country | US
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Telephone | 818-683-4344
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | NAREK GARUKYAN
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Credential | DPM
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Telephone | 818-683-4344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5012
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License Number State | CA
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