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General NPI Number Information
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NPI Number | 1851559546
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Entity Type | Organization
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Legal Business Name | SAMUEL A KOJOGLANIAN MD FACC A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 24868 APPLE ST STE 103-104
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City | NEWHALL
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State | CA
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Zip | 91321-5037
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Country | US
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Telephone | 661-259-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 24868 APPLE ST STE 103-104
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City | SANTA CLARITA
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State | CA
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Zip | 91321-5037
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Country | US
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Telephone | 661-259-1711
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Fax | 661-259-1911
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Authorized Official
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Title or Position | INTERVENTIONAL CARDIOLOGIST
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Name | DR. SAMUEL A. KOJOGLANIAN
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Credential | M.D.
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Telephone | 661-259-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A60872
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License Number State | CA
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