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General NPI Number Information
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NPI Number | 1063643732
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Entity Type | Individual
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Provider Name | NARAYAN PRABHU IYER MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 4650 W SUNSET BLVD MAIL STOP #31, CHILDRENS HOSPITAL LOS ANGELES
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 626-617-7043
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Fax |
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Provider Business Mailing Address
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Address Line | 4650 W SUNSET BLVD MAIL STOP #31, CHILDRENS HOSPITAL LOS ANGELES
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 626-617-7043
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 57015958
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A129376
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License Number State | CA
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