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General NPI Number Information
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NPI Number | 1780876607
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Entity Type | Organization
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Legal Business Name | NAVASART KAZAZIAN DDS
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 204 E CHEVY CHASE DR #1
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City | GLENDALE
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State | CA
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Zip | 91205
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Country | US
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Telephone | 818-547-4398
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Fax | 818-547-1660
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Provider Business Mailing Address
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Address Line | 204 E CHEVY CHASE DR #1
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City | GLENDALE
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State | CA
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Zip | 91205
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Country | US
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Telephone | 818-547-4398
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Fax | 818-547-1660
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. NAVASART KAZAZIAN
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Credential | DDS
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Telephone | 818-547-4398
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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 |
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License Number State |
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