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General NPI Number Information
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NPI Number | 1174546493
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Entity Type | Individual
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Provider Name | SHAHRYAR YADEGAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 06/24/2024
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Provider Practice Location Address
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Address Line | 18399 VENTURA BLVD SUITE 245
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City | TARZANA
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State | CA
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Zip | 91356-4233
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Country | US
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Telephone | 818-609-7536
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Fax | 818-344-9670
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Provider Business Mailing Address
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Address Line | PO BOX 1133
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City | STUDIO CITY
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State | CA
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Zip | 91614-0133
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Country | US
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Telephone | 310-914-9105
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Fax | 310-914-9105
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | A61475
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A61475
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | A61475
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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