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General NPI Number Information
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NPI Number | 1487139879
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Entity Type | Individual
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Provider Name | EDDIE KARABIDIAN
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Gender | Male
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 1520 E LINCOLN AVE
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City | ANAHEIM
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State | CA
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Zip | 92805-2261
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Country | US
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Telephone | 818-640-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 521 E GARFIELD AVE APT 5
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City | GLENDALE
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State | CA
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Zip | 91205-2882
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Country | US
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Telephone | 818-681-1428
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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 | 103261
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License Number State | CA
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