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General NPI Number Information
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NPI Number | 1134330921
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Entity Type | Individual
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Provider Name | YESIM YILMAZ DEMIRDAG M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 821 HEALTH SCIENCES RD MEDICAL SCIENCES I C-240
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City | IRVINE
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State | CA
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Zip | 92697-9214
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Country | US
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Telephone | 949-824-5818
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9214 WEST VIRGINIA UNIVERSITY
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City | MORGANTOWN
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State | WV
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Zip | 26506-9214
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Country | US
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Telephone | 304-293-1201
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | C166841
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License Number State | CA
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