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General NPI Number Information
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NPI Number | 1134314909
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Entity Type | Individual
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Provider Name | LOJYN HALLAK JR. DDS
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Gender | Female
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 5555 E KINGS CANYON RD SU 101
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City | FRESNO
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State | CA
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Zip | 93727-4532
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Country | US
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Telephone | 559-255-1122
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Fax | 559-255-1122
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Provider Business Mailing Address
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Address Line | 1410 BRADSHIRE DR
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City | COLUMBUS
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State | OH
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Zip | 43220-2618
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Country | US
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Telephone | 800-417-4444
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Fax | 714-571-3560
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 56172
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License Number State | CA
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