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General NPI Number Information
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NPI Number | 1871160630
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Entity Type | Individual
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Provider Name | CAROLINA HAKOPIAN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 104 E 74TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-3544
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Country | US
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Telephone | 212-369-2202
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Fax |
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Provider Business Mailing Address
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Address Line | 181 E 93RD ST APT 2G
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City | NEW YORK
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State | NY
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Zip | 10128-3746
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Country | US
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Telephone | 917-294-5162
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 062421
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License Number State | NY
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