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General NPI Number Information
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NPI Number | 1720309685
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Entity Type | Individual
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Provider Name | DANIEL ALBERTO YELFIMOV M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 7909 FREDERICKSBURG ROAD SUITE 130
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3400
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Country | US
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Telephone | 210-614-4544
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Fax | 210-679-3713
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Provider Business Mailing Address
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Address Line | 7909 FREDERICKSBURG ROAD, SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3400
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Country | US
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Telephone | 210-614-4544
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Fax | 210-679-3713
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | Q4550
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License Number State | TX
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