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General NPI Number Information
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NPI Number | 1114724515
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Entity Type | Organization
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Legal Business Name | SYAMAK YAMINI DPM, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 16550 VENTURA BLVD STE 406
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City | ENCINO
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State | CA
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Zip | 91436-5028
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Country | US
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Telephone | 818-336-1356
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Fax | 310-400-5666
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Provider Business Mailing Address
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Address Line | 18700 EDLEEN DR
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City | TARZANA
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State | CA
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Zip | 91356-4809
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Country | US
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Telephone | 818-336-1356
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Fax | 310-400-5666
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Authorized Official
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Title or Position | CEO
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Name | SYAMAK YAMINI
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Credential | DPM
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Telephone | 818-336-1356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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