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General NPI Number Information
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NPI Number | 1073758645
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Entity Type | Organization
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Legal Business Name | SARKIS A KAAKIJIAN M D INC
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 1500 S CENTRAL AVE SUITE 318
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City | GLENDALE
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State | CA
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Zip | 91204-2530
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Country | US
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Telephone | 818-548-5437
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Fax | 818-548-5445
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Provider Business Mailing Address
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Address Line | 1500 S CENTRAL AVE SUITE 318
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City | GLENDALE
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State | CA
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Zip | 91204-2530
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Country | US
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Telephone | 818-548-5437
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Fax |
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Authorized Official
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Title or Position | PRESIDANT
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Name | DR. SARKIS A KAAKIJIAN
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Credential | MD
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Telephone | 818-548-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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