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General NPI Number Information
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NPI Number | 1255349197
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Entity Type | Organization
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Legal Business Name | VLADIMIR EYCHIS DDS INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 7260 SUNSET BLVD STE 201
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City | LA
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State | CA
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Zip | 90046
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Country | US
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Telephone | 323-874-0110
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Fax | 323-874-4710
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Provider Business Mailing Address
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Address Line | 7260 SUNSET BLVD STE 201
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City | LA
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State | CA
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Zip | 90046
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Country | US
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Telephone | 323-874-0110
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Fax | 323-874-4710
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Authorized Official
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Title or Position | PRESIDENT
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Name | VLADIMIR I EYCHIS
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Credential | DDS
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Telephone | 323-874-0110
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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 | 30202
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License Number State | CA
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