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General NPI Number Information
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NPI Number | 1083660559
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Entity Type | Organization
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Legal Business Name | VAHE H HAGOPIAN MD LLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 1117 ROUTE 46 SUITE 303
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City | CLIFTON
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State | NJ
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Zip | 07013-2449
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Country | US
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Telephone | 201-723-1078
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 706
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City | ORADELL
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State | NJ
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Zip | 07649-0706
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Country | US
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Telephone | 201-723-1078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VAHE H HAGOPIAN
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Credential | MD
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Telephone | 201-723-1078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MA62723
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License Number State | NJ
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