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General NPI Number Information
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NPI Number | 1215123591
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Entity Type | Organization
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Legal Business Name | NARINE DANIELIAN DDS, INC.
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 4406 W MAGNOLIA BLVD STE A
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City | BURBANK
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State | CA
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Zip | 91505-2729
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Country | US
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Telephone | 818-260-0274
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Fax | 818-260-8743
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Provider Business Mailing Address
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Address Line | 4406 W MAGNOLIA BLVD STE A
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City | BURBANK
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State | CA
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Zip | 91505-2729
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Country | US
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Telephone | 818-260-0274
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Fax | 818-260-8743
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NARINE DANIELIAN
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Credential | DDS
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Telephone | 818-260-0274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 49867
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License Number State | CA
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