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General NPI Number Information
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NPI Number | 1679623078
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Entity Type | Organization
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Legal Business Name | KRIKOR K SILAHIAN
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 24953 PASEO DE VALENCIA #17B
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4342
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Country | US
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Telephone | 949-581-9840
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Fax | 949-770-7545
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Provider Business Mailing Address
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Address Line | 24953 PASEO DE VALENCIA #17B
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4342
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Country | US
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Telephone | 949-581-9840
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Fax | 949-770-7545
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Authorized Official
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Title or Position | PHARMACIST
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Name | JESSIE SILAHIAN
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Credential | PHARM.D.
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Telephone | 949-581-9840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY21045
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY21045
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License Number State | CA
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