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General NPI Number Information
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NPI Number | 1144372095
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Entity Type | Individual
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Provider Name | YASHAR HIRSHAUT MD
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 860 FIFTH AVE
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-861-1799
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Fax | 212-628-8736
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Provider Business Mailing Address
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Address Line | 99 HARBOR VIEW WEST
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City | LAURENCE
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State | NY
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Zip | 11559
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Country | US
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Telephone | 516-371-0949
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Fax | 212-628-8736
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 093077
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License Number State | NY
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