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General NPI Number Information
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NPI Number | 1962529057
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Entity Type | Individual
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Provider Name | SERGEI ZBROJIK DDS
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4955 VAN NUYS BLVD STE 307
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1810
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Country | US
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Telephone | 818-905-5921
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Fax |
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Provider Business Mailing Address
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Address Line | 4303 ENSENADA DR
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-5406
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Country | US
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Telephone | 818-884-8294
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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 | 48416
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License Number State | CA
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