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General NPI Number Information
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NPI Number | 1528182565
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Entity Type | Organization
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Legal Business Name | YEPREMIAN MEDICAL CORP.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 500 E OLIVE AVE SUITE 750
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City | BURBANK
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State | CA
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Zip | 91501-3316
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Country | US
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Telephone | 818-848-1113
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Fax | 818-848-1181
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Provider Business Mailing Address
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Address Line | 500 E OLIVE AVE SUITE 750
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City | BURBANK
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State | CA
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Zip | 91501-3316
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Country | US
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Telephone | 818-848-1113
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Fax | 818-848-1181
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KELLY JOY YEPREMIAN
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Credential | M.D.
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Telephone | 818-848-1113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A81317
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License Number State | CA
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