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General NPI Number Information
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NPI Number | 1689831299
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Entity Type | Individual
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Provider Name | YURI SIMONIAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 1430 TULANE AVENUE
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City | NEW ORLEASNS
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State | LA
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Zip | 70112
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Country | US
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Telephone | 504-988-5217
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Fax | 504-988-1846
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Provider Business Mailing Address
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Address Line | 1430 TULANE AVENUE BOX 8611
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City | NEW ORLEASNS
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State | LA
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Zip | 70112
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Country | US
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Telephone | 504-988-5217
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Fax | 504-988-1846
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | MD203622
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License Number State | LA
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