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General NPI Number Information
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NPI Number | 1114318268
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Entity Type | Organization
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Legal Business Name | SARA YEGIYANTS MD INC
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Dates
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Enumeration Date | 02/11/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 225 W PUEBLO ST # A
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3804
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Country | US
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Telephone | 805-222-0004
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Fax | 805-682-1730
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Provider Business Mailing Address
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Address Line | 3371 GLENDALE BLVD # 470
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City | LOS ANGELES
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State | CA
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Zip | 90039-1825
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SIRANUSH SARA YEGIYANTS
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Credential | M.D.
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Telephone | 818-424-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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