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General NPI Number Information
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NPI Number | 1245862101
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Entity Type | Organization
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Legal Business Name | YUVAL BIBI LLC
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Dates
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Enumeration Date | 02/09/2020
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 2101 NE 4TH WAY
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City | BOCA RATON
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State | FL
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Zip | 33431-8132
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Country | US
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Telephone | 213-309-9969
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Fax |
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Provider Business Mailing Address
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Address Line | 7266 FRANKLIN AVE APT 321
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City | LOS ANGELES
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State | CA
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Zip | 90046-8324
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Country | US
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Telephone | 213-309-9969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YUVAL BIBI
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Credential | MD
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Telephone | 213-309-9969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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