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General NPI Number Information
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NPI Number | 1477711661
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Entity Type | Individual
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Provider Name | VAHE KAZARIAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/25/2008
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 4735 S DURANGO DR STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147-8164
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Country | US
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Telephone | 725-735-7338
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Fax |
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Provider Business Mailing Address
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Address Line | 4735 S DURANGO DR STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89147-8164
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Country | US
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Telephone | 725-735-7338
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Fax | 818-504-8487
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A104760
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24446
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License Number State | NV
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