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General NPI Number Information
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NPI Number | 1225226301
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Entity Type | Individual
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Provider Name | SHARON YEGIAIAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/14/2007
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 139 S LOS ROBLES AVE UNIT B020
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City | PASADENA
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State | CA
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Zip | 91101-2488
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Country | US
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Telephone | 626-626-7670
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Fax | 626-818-4155
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Provider Business Mailing Address
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Address Line | 139 S LOS ROBLES AVE UNIT B020
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City | PASADENA
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State | CA
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Zip | 91101-2488
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Country | US
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Telephone | 626-626-7670
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Fax | 626-818-4155
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 105423
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 54644
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A117162
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License Number State | CA
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