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General NPI Number Information
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NPI Number | 1295256600
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Entity Type | Individual
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Provider Name | BEHRUZ YUSUFBEKOV DC
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Gender | Male
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Dates
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Enumeration Date | 07/06/2017
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 9478 W OLYMPIC BLVD PH
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City | BEVERLY HILLS
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State | CA
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Zip | 90212
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Country | US
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Telephone | 310-556-8071
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Fax | 310-556-3880
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Provider Business Mailing Address
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Address Line | 92-1309 KUAMU ST
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City | KAPOLEI
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State | HI
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Zip | 96707-1555
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Country | US
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Telephone | 720-257-4242
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 34001
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0007637
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC-1413
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License Number State | HI
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