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General NPI Number Information
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NPI Number | 1780621144
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Entity Type | Individual
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Provider Name | FEREYDOUN MICHAEL YEBRI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 2527 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006
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Country | US
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Telephone | 213-380-2426
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Fax | 213-380-2931
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Provider Business Mailing Address
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Address Line | 601 N HILLCREST RD #1
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City | BEVERLY HILLS
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State | CA
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Zip | 90210
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Country | US
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Telephone | 310-428-4053
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Fax | 310-276-8667
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | B35570
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License Number State | CA
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