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General NPI Number Information
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NPI Number | 1760670889
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Entity Type | Individual
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Provider Name | ARMEN ROBERT DEUKMEDJIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 2590 HEALING WAY STE 310
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-5497
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Country | US
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Telephone | 813-333-1186
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Fax | 844-691-5928
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Provider Business Mailing Address
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Address Line | 2653 BRUCE B DOWNS BLVD # 108168
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9206
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Country | US
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Telephone | 813-997-2099
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Fax | 813-280-6193
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME110299
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License Number State | FL
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