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General NPI Number Information
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NPI Number | 1801223391
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Entity Type | Organization
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Legal Business Name | DR. JULIAN ZHITNITSKY'S DENTAL CARE, INC.
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD SUITE 907
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-693-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 16311 VENTURA BLVD SUITE 907
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-693-9005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIAN HENRY ZHITNITSKY
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Credential | DDS
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Telephone | 818-693-9005
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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 | 40329
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License Number State | CA
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