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General NPI Number Information
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NPI Number | 1134827462
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Entity Type | Organization
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Legal Business Name | KAYNAK MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 1965 W 24TH ST STE B
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City | YUMA
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State | AZ
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Zip | 85364-6255
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Country | US
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Telephone | 928-248-4617
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Fax | 928-248-5017
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Provider Business Mailing Address
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Address Line | 1965 W 24TH ST STE B
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City | YUMA
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State | AZ
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Zip | 85364-6255
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Country | US
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Telephone | 928-248-4617
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ZEHRA KAYNAK
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Credential |
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Telephone | 832-573-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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