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General NPI Number Information
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NPI Number | 1760282990
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Entity Type | Organization
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Legal Business Name | BEHUMAN MEDICAL GROUP CALIFORNIA, P.C.
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 2512 SAMARITAN CT STE G
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City | SAN JOSE
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State | CA
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Zip | 95124-4002
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Country | US
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Telephone | 305-523-9787
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Fax | 754-310-1422
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Provider Business Mailing Address
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Address Line | 16442 NE 31ST AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-4135
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Country | US
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Telephone | 305-523-9787
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Fax | 754-310-1422
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | INNA YASKIN
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Credential | DO
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Telephone | 305-523-9787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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