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General NPI Number Information
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NPI Number | 1235438961
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Entity Type | Individual
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Provider Name | YARA ELIZABETH PEREZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 1010 CENTRAL PARK AVE
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City | YONKERS
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State | NY
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Zip | 10704-1044
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Country | US
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Telephone | 917-455-0096
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 MIDLAND AVE APT 4S
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City | BRONXVILLE
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State | NY
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Zip | 10708-6477
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Country | US
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Telephone | 917-455-0096
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 271231-1
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License Number State | NY
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