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General NPI Number Information
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NPI Number | 1487758660
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Entity Type | Individual
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Provider Name | ZAVEN JABOURIAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 6139 GOV GC PEERY HIGHWAY
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City | RICHLANDS
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State | VA
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Zip | 24641
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Country | US
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Telephone | 276-964-7439
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Fax | 276-963-3070
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Provider Business Mailing Address
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Address Line | PO BOX 656 ROUTE 460
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City | DORAN
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State | VA
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Zip | 24612
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Country | US
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Telephone | 276-964-7439
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Fax | 276-963-3070
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 0101044007
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License Number State | VA
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