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General NPI Number Information
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NPI Number | 1427542398
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Entity Type | Organization
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Legal Business Name | NAIRI KUREGHIAN, D.D.S., INC
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 18250 ROSCOE BLVD STE 355
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4287
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Country | US
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Telephone | 818-701-6197
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Fax | 818-701-6198
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Provider Business Mailing Address
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Address Line | 18250 ROSCOE BLVD STE 355
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4287
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Country | US
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Telephone | 818-701-6197
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Fax | 818-701-6198
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. NAIRI KUREGHIAN
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Credential | DDS
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Telephone | 818-701-6197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 41636
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License Number State | CA
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