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General NPI Number Information
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NPI Number | 1982010161
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Entity Type | Organization
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Legal Business Name | ARKA LIMO LLC
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 07/08/2014
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Provider Practice Location Address
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Address Line | 1003 E CHEVY CHASE DR
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City | GLENDALE
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State | CA
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Zip | 91205-3001
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Country | US
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Telephone | 818-642-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 E CHEVY CHASE DR
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City | GLENDALE
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State | CA
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Zip | 91205-3001
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Country | US
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Telephone | 818-642-4232
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KAREN MELKONYAN
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Credential |
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Telephone | 818-642-4232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | 32561-P
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License Number State | CA
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