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General NPI Number Information
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NPI Number | 1053776955
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Entity Type | Organization
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Legal Business Name | ZAVEN TOBAKYAN, D.M.D. CORPORATION
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Dates
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Enumeration Date | 12/18/2015
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 3204 STINE RD
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City | BAKERSFIELD
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State | CA
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Zip | 93309-6303
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Country | US
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Telephone | 661-831-7664
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 VINE VALLEY DR
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City | SUN VALLEY
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State | CA
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Zip | 91352-3657
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Country | US
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Telephone | 323-428-3214
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Fax |
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Authorized Official
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Title or Position | CEO/DENTIST
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Name | DR. ZAVEN TOBAKYAN
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Credential | D.M.D.
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Telephone | 323-428-3214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 62465
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License Number State | CA
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