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General NPI Number Information
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NPI Number | 1215966593
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Entity Type | Individual
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Provider Name | HRATCH KAZANJIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 30 HATFIELD LN SUITE 209
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City | GOSHEN
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State | NY
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Zip | 10924-6766
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Country | US
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Telephone | 845-294-7510
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Fax | 845-294-7982
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Provider Business Mailing Address
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Address Line | 20 GRAND STREET 3RD FLOOR
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City | WARWICK
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State | NY
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Zip | 10990-1035
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Country | US
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Telephone | 845-987-3901
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Fax | 845-987-5979
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 191777-1
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License Number State | NY
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