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General NPI Number Information
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NPI Number | 1073825956
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Entity Type | Organization
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Legal Business Name | VARAND KERIKORIAN, DDS A PROFESSIONAL DENTAL CORP
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 1822 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1348
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Country | US
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Telephone | 818-238-9700
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Fax | 818-238-9124
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Provider Business Mailing Address
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Address Line | 1822 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91506-1348
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Country | US
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Telephone | 818-238-9700
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Fax | 818-238-9124
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Authorized Official
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Title or Position | CEO
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Name | DR. VARAND KERIKORIAN
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Credential | D.D.S
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Telephone | 818-636-6923
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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 | 57533
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License Number State | CA
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