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General NPI Number Information
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NPI Number | 1558635920
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Entity Type | Individual
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Provider Name | DANIEL YASHAYEV NP-C
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Gender | Male
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 79-01 BROADWAY ELMHURST ELMHURST HOSPITAL CENTER - PREOPERATIVE CARE CENTER
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 718-334-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 79-01 BROADWAY ELMHURST ELMHURST HOSPITAL CENTER - PERIOPERATIVE CARE CENTER
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City | ELMHURST
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State | NY
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Zip | 11373
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Country | US
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Telephone | 718-334-5557
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 337203
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License Number State | NY
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