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General NPI Number Information
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NPI Number | 1811283021
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Entity Type | Individual
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Provider Name | ARMINE V GRIGORYAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 4000 OLD COURT RD #302
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City | PIKESVILLE
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State | MD
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Zip | 21208-2800
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Country | US
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Telephone | 410-764-3363
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Fax |
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Provider Business Mailing Address
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Address Line | 5227 GROVEMONT DR
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City | ELKRIDGE
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State | MD
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Zip | 21075-5558
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Country | US
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Telephone | 443-413-0823
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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 | 14932
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License Number State | MD
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