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General NPI Number Information
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NPI Number | 1598775942
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Entity Type | Organization
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Legal Business Name | EDWARD KOCHARIAN,MD.LLC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4200 WARRENSVILLE CENTER RD SUITE340
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City | BEACHWOOD
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State | OH
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Zip | 44122-7051
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Country | US
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Telephone | 216-491-7447
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Fax | 216-491-7446
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Provider Business Mailing Address
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Address Line | 38195 MCDOWELL DR
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City | SOLON
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State | OH
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Zip | 44139-4682
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Country | US
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Telephone | 440-542-0789
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Fax | 440-542-0888
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDWARD KOCHARIAN
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Credential | MD
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Telephone | 216-262-3151
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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 | 35073847
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License Number State | OH
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