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General NPI Number Information
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NPI Number | 1710414982
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Entity Type | Individual
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Provider Name | ARAM SEXENIAN
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Gender | Male
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 05/17/2017
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Provider Practice Location Address
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Address Line | 11850 1/2 BALBOA BLVD
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City | GRANADA HILLS
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State | CA
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Zip | 91344-2753
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Country | US
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Telephone | 818-536-3496
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Fax |
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Provider Business Mailing Address
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Address Line | 11612 PORTER VALLEY DR
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City | NORTHRIDGE
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State | CA
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Zip | 91326-1414
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 101286
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License Number State | CA
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