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General NPI Number Information
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NPI Number | 1730159922
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Entity Type | Individual
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Provider Name | YELENA S LAPIDUS MD
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 02/18/2021
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Provider Practice Location Address
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Address Line | 6685 BAY LAUREL PLACE
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City | AVILA BEACH
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State | CA
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Zip | 93424
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Country | US
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Telephone | 805-439-4825
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Fax | 805-540-3072
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | AVILA BEACH
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State | CA
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Zip | 93424-0490
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Country | US
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Telephone | 805-540-3071
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Fax | 805-540-3072
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A88176
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207PE0005X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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License Number | A88176
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License Number State | CA
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