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General NPI Number Information
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NPI Number | 1548478886
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Entity Type | Individual
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Provider Name | OGANES KARAPETIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 14050 CHERRY AVE STE A
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City | FONTANA
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State | CA
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Zip | 92337-8312
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Country | US
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Telephone | 909-822-9090
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Fax |
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Provider Business Mailing Address
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Address Line | 212 N GLENDALE AVE STE 101
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City | GLENDALE
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State | CA
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Zip | 91206-4735
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Country | US
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Telephone | 818-287-4140
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Fax | 818-671-2229
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 55671
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 55671
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License Number State | CA
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