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General NPI Number Information
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NPI Number | 1619223161
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Entity Type | Organization
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Legal Business Name | 'COMFORT DENTAL HYGIENE PRACTICE OF CAROLIE AGHAMALIAN'
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 3940 LAUREL CANYON BLDV. #944
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City | STUDIO CITY
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State | CA
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Zip | 91604
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Country | US
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Telephone | 818-517-9997
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Fax | 818-579-4047
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Provider Business Mailing Address
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Address Line | 3940 LAUREL CANYON BLVD. #944
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City | STUDIO CITY
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State | CA
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Zip | 91604
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Country | US
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Telephone | 818-517-9997
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Fax | 818-579-4047
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Authorized Official
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Title or Position | DIRECTOR/REGISTERED DENTAL HYGIENIS
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Name | MISS CAROLINE AGHAMALIAN
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Credential | RDHAP, BS
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Telephone | 818-517-9997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State | CA
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