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General NPI Number Information
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NPI Number | 1326229907
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Entity Type | Individual
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Provider Name | EDWARD ARAZ ADOURIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 5814 VAN ALLEN WAY STE 220
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City | CARLSBAD
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State | CA
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Zip | 92008-7360
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Country | US
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Telephone | 760-918-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 29 MORNING DOVE
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City | IRVINE
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State | CA
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Zip | 92604-3220
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Country | US
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Telephone | 508-868-2039
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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 | 56583
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License Number State | CA
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