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General NPI Number Information
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NPI Number | 1326234675
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Entity Type | Organization
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Legal Business Name | ZAVEN KHATCHATURIAN DMD A PROFFESIONAL CORP
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 1030 S GLENDALE AVE STE 501
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City | GLENDALE
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State | CA
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Zip | 91205
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Country | US
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Telephone | 818-500-8989
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Fax | 818-500-8242
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Provider Business Mailing Address
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Address Line | 1030 S GLENDALE AVE STE 501
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City | GLENDALE
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State | CA
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Zip | 91205
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Country | US
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Telephone | 818-500-8989
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Fax | 818-500-8242
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ZAVEN KHATCHATURIAN
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Credential | DMD
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Telephone | 818-500-8989
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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 |
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License Number State |
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