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General NPI Number Information
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NPI Number | 1710036181
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Entity Type | Individual
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Provider Name | ARAM ARAKELYAN D.D.S
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 720 N LAKE AVE STE 7
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City | PASADENA
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State | CA
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Zip | 91104-5810
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Country | US
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Telephone | 626-791-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 19523 E CYPRESS ST
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City | COVINA
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State | CA
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Zip | 91724-2066
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Country | US
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Telephone | 626-786-6204
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 52709
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License Number State | CA
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