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General NPI Number Information
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NPI Number | 1831052430
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Entity Type | Organization
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Legal Business Name | YASIN HUMMUS LLC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 6355 DE SOTO AVE APT B210
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2635
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Country | US
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Telephone | 818-224-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 6355 DE SOTO AVE APT B210
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-2635
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Country | US
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Telephone | 818-224-8411
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DURID AL KURDI
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Credential |
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Telephone | 818-224-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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