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General NPI Number Information
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NPI Number | 1295035731
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Entity Type | Organization
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Legal Business Name | SYLVIE D KHORENIAN MD PC
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 630 E PALISADE AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-1842
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Country | US
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Telephone | 201-503-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 630 E PALISADE AVE
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-1842
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/EMPLOYER
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Name | DR. SYLVIE D KHORENIAN
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Credential | MD
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Telephone | 201-503-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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