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General NPI Number Information
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NPI Number | 1598032054
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Entity Type | Organization
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Legal Business Name | VANIK KREKORIANS DDS INC
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Dates
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Enumeration Date | 11/28/2011
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 6900 FOOTHILL BLVD
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City | TUJUNGA
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State | CA
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Zip | 91042-2713
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Country | US
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Telephone | 818-353-9595
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Fax | 818-353-0505
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Provider Business Mailing Address
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Address Line | 9865 TUJUNGA CANYON PL
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City | TUJUNGA
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State | CA
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Zip | 91042-2910
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Country | US
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Telephone | 818-353-9595
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Fax | 818-353-0505
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VANIK KREKORIANS
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Credential | DDS
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Telephone | 818-353-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 52074
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License Number State | CA
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