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General NPI Number Information
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NPI Number | 1235148321
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Entity Type | Organization
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Legal Business Name | MERION VILLAGE DENTAL, VESHA & JANIKIAN, L.L.C.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 1250 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43206-3446
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Country | US
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Telephone | 614-443-4400
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Fax | 614-443-8335
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Provider Business Mailing Address
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Address Line | 1250 S HIGH ST
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City | COLUMBUS
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State | OH
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Zip | 43206-3446
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Country | US
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Telephone | 614-443-4400
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Fax | 614-443-8335
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY A JANIKIAN
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Credential | DDS
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Telephone | 614-443-4400
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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 | 19591
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License Number State | OH
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