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General NPI Number Information
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NPI Number | 1245428531
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Entity Type | Organization
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Legal Business Name | ANDREW J. ZAKARIAN, DDS, INC.
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 3501 4TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-4912
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Country | US
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Telephone | 619-296-6899
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Fax | 619-297-5851
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Provider Business Mailing Address
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Address Line | 3501 4TH AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103-4912
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Country | US
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Telephone | 619-296-6899
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Fax | 619-297-5851
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. ANDREW JOHN ZAKARIAN
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Credential | D.D.S
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Telephone | 619-296-6899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 39738
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License Number State | CA
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