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General NPI Number Information
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NPI Number | 1689983744
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Entity Type | Organization
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Legal Business Name | NEDA OROMCHIAN D.D.S, APC
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 2130 SAN RAMON VALLEY BLV SUITE #2
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City | SAN RAMON
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State | CA
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Zip | 94583
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Country | US
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Telephone | 925-828-0824
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Fax | 925-828-3426
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Provider Business Mailing Address
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Address Line | 2130 SAN RAMON VALLEY BLV SUITE #2
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City | SAN RAMON
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State | CA
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Zip | 94583
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Country | US
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Telephone | 925-828-0824
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Fax | 925-828-3426
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. NEDA OROMCHIAN
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Credential | D.D.S
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Telephone | 925-828-0824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 39692
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License Number State | CA
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