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General NPI Number Information
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NPI Number | 1568506798
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Entity Type | Individual
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Provider Name | RUZAN SARKISSIAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 09/03/2023
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Provider Practice Location Address
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Address Line | 4419 VAN NUYS BLVD STE 310
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5737
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Country | US
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Telephone | 818-788-8131
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Fax | 818-788-8197
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Provider Business Mailing Address
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Address Line | 4419 VAN NUYS BLVD STE 310
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-5737
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Country | US
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Telephone | 818-788-8131
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Fax | 818-788-8197
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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 | 52465
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License Number State | CA
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