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General NPI Number Information
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NPI Number | 1376210237
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Entity Type | Individual
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Provider Name | AYAA YESMINE KOBAISSI
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Gender | Female
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 43112 15TH ST W
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City | LANCASTER
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State | CA
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Zip | 93534-6219
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Country | US
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Telephone | 866-362-5488
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Fax |
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Provider Business Mailing Address
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Address Line | 8724 LUCIA PL
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City | SUN VALLEY
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State | CA
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Zip | 91352-3457
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Country | US
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Telephone | 818-588-1449
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 91816
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License Number State | CA
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