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General NPI Number Information
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NPI Number | 1154486512
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Entity Type | Individual
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Provider Name | VIGEN ALIKHANIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 3927 W BURBANK BLVD
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City | BURBANK
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State | CA
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Zip | 91505-2118
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Country | US
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Telephone | 818-845-0900
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Fax | 818-845-0980
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Provider Business Mailing Address
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Address Line | 515 N KENWOOD ST 101
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City | GLENDALE
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State | CA
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Zip | 91206-3217
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Country | US
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Telephone | 818-726-0010
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 54443
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License Number State | CA
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