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General NPI Number Information
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NPI Number | 1659589844
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Entity Type | Organization
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Legal Business Name | DOCTORS OF DERMATOLOGY INC
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Dates
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Enumeration Date | 05/19/2007
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Last Update Date | 02/26/2011
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Provider Practice Location Address
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Address Line | 27141 HIDAWAY AVE SUITE 104
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City | SANTA CLARITA
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State | CA
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Zip | 91351-4131
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Country | US
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Telephone | 661-299-6900
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Fax | 661-299-1300
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Provider Business Mailing Address
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Address Line | 27141 HIDAWAY AVE SUITE 104
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City | SANTA CLARITA
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State | CA
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Zip | 91351-4131
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Country | US
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Telephone | 661-299-6900
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Fax | 661-299-1300
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARAM H. KECHICHIAN
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Credential | D.O.
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Telephone | 661-299-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 20A8307
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License Number State | CA
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