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General NPI Number Information
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NPI Number | 1619437464
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Entity Type | Individual
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Provider Name | MEGAN LYNN YANIK
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Gender | Female
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1375 SUTTER ST STE 105
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5465
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Country | US
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Telephone | 415-379-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 1375 SUTTER ST STE 105
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-5465
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Country | US
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Telephone | 734-788-3277
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 196494
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License Number State | CA
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