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General NPI Number Information
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NPI Number | 1134431471
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Entity Type | Individual
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Provider Name | ALAN ZABOLIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 416 S SHERBOURNE DR APT 207
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City | LOS ANGELES
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State | CA
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Zip | 90048-4041
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Country | US
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Telephone | 310-666-9362
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Fax |
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Provider Business Mailing Address
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Address Line | 416 S SHERBOURNE DR APT 207
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City | LOS ANGELES
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State | CA
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Zip | 90048-4041
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Country | US
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Telephone | 310-666-9362
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 59412
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License Number State | CA
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