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General NPI Number Information
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NPI Number | 1518090299
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Entity Type | Organization
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Legal Business Name | VAHAGN AGBABIAN DO PC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 28 N SAGINAW ST SUITE 703
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City | PONTIAC
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State | MI
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Zip | 48342-2134
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Country | US
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Telephone | 248-334-2424
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Fax | 248-334-2924
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Provider Business Mailing Address
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Address Line | 28 N SAGINAW ST SUITE 703
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City | PONTIAC
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State | MI
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Zip | 48342-2134
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Country | US
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Telephone | 248-334-2424
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Fax | 248-334-2924
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VAHAGN AGBABIAN
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Credential | D.O.
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Telephone | 248-334-2424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5101004232
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License Number State | MI
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