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NPI Code Detail

MEDICARE: YASAMIN TAKLIMI

MEDICARE: YASAMIN TAKLIMI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist71515CA

General Provider Information

NPI Number : 1811394117
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASAMIN TAKLIMI
Provider Business Mailing Address
First Line : 475 M ST
Second Line :
City : CRESCENT CITY
State : CA
Zip : 95531-4129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 475 M ST
Second Line :
City : CRESCENT CITY
State : CA
Zip : 95531-4129
Country : US
Telephone Number : 707-465-3663
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2014
Last Update Date : 12/02/2014

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Directions to “ YASAMIN TAKLIMI ” Practice Location

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