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General NPI Number Information
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NPI Number | 1285949479
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Entity Type | Individual
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Provider Name | EMILY ROXANNE ISHKANIAN D.M.D
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 275 N PECOS RD
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City | HENDERSON
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State | NV
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Zip | 89074-1918
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Country | US
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Telephone | 702-896-8933
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Fax |
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Provider Business Mailing Address
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Address Line | 11076 EVVIE LN
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City | LAS VEGAS
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State | NV
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Zip | 89135-7837
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Country | US
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Telephone | 702-370-6449
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | NV #6056
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License Number State | NV
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