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General NPI Number Information
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NPI Number | 1407340409
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Entity Type | Individual
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Provider Name | JORDAN YARDAIN AMAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 1520 SAN PABLO ST STE 3000
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City | LOS ANGELES
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State | CA
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Zip | 90033-5315
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Country | US
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Telephone | 323-442-5710
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31309
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City | LOS ANGELES
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State | CA
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Zip | 90031-0309
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Country | US
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Telephone | 323-442-5710
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25MA12203200
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License Number State | NJ
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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 | 33309
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License Number State | MS
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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 | E-17850
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License Number State | AR
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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 | 70640
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A185408
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2018020002
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License Number State | MO
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Taxonomy #7
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD484833
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License Number State | PA
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