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General NPI Number Information
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NPI Number | 1598861924
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Entity Type | Individual
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Provider Name | ARA FATOUREHCHIAN DDS
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 305 E CAMP WISDOM RD
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City | DUNCANVILLE
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State | TX
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Zip | 75116-2705
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Country | US
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Telephone | 972-296-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 CEDAR SPRINGS RD UNIT #1106
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City | DALLAS
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State | TX
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Zip | 75219-4136
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Country | US
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Telephone | 949-922-0444
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 54695
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29296
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License Number State | TX
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