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General NPI Number Information
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NPI Number | 1548145550
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Entity Type | Individual
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Provider Name | MR. GEORGE YAZBEK
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Gender | Male
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 400 MOBIL AVE STE D7
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City | CAMARILLO
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State | CA
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Zip | 93010-6393
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Country | US
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Telephone | 805-383-0077
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Fax | 805-383-1780
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Provider Business Mailing Address
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Address Line | 2815 TEXAS AVE
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City | SIMI VALLEY
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State | CA
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Zip | 93063-1931
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Country | US
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Telephone | 805-857-6945
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 550008643
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License Number State | CA
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