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General NPI Number Information
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NPI Number | 1972267011
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Entity Type | Organization
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Legal Business Name | DENTAL HYGIENE PRACTICE OF TATEVIK OVASAPYAN RDHAP INC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 9341 CRYSTAL VIEW DR
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City | TUJUNGA
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State | CA
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Zip | 91042-3239
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Country | US
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Telephone | 818-517-3842
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Fax |
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Provider Business Mailing Address
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Address Line | 9341 CRYSTAL VIEW DR
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City | TUJUNGA
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State | CA
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Zip | 91042-3239
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Country | US
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Telephone | 818-517-3842
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Fax |
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Authorized Official
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Title or Position | CEO/DENTAL HYGIENIST
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Name | TATEVIK OVASAPYAN
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Credential | RDH/RDHAP
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Telephone | 818-517-3842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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