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General NPI Number Information
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NPI Number | 1558640409
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Entity Type | Individual
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Provider Name | YANA KATZAP-NACKMAN BA, IBCLC, RLC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 13428 MAXELLA AVE # 526
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City | MARINA DEL REY
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State | CA
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Zip | 90292
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Country | US
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Telephone | 323-240-6002
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Fax |
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Provider Business Mailing Address
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Address Line | 13428 MAXELLA AVE # 526
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City | MARINA DEL REY
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State | CA
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Zip | 90292
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Country | US
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Telephone | 323-240-6002
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 10931433
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 118300
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License Number State | CA
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