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General NPI Number Information
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NPI Number | 1578661955
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Entity Type | Organization
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Legal Business Name | VARUJAN AREK KELEDJIAN, MD, INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 3903 LONE TREE WAY STE 205
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City | ANTIOCH
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State | CA
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Zip | 94509-6269
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Country | US
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Telephone | 925-754-8710
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Fax | 925-754-0765
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Provider Business Mailing Address
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Address Line | 3903 LONE TREE WAY STE 205
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City | ANTIOCH
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State | CA
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Zip | 94509-6269
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Country | US
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Telephone | 925-754-8710
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Fax | 925-754-0765
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VARUJAN AREK KELEDJIAN
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Credential | M.D.
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Telephone | 925-754-8710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A46647
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License Number State | CA
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