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General NPI Number Information
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NPI Number | 1871316364
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Entity Type | Individual
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Provider Name | YONATAN SENEHI ACNPC-AG
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Gender | Male
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 465 N ROXBURY DR STE 815
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-4211
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Country | US
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Telephone | 310-467-1672
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Fax |
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Provider Business Mailing Address
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Address Line | 1484 S BEVERLY DR APT 307
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City | LOS ANGELES
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State | CA
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Zip | 90035-3068
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Country | US
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Telephone | 310-730-9741
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95032852
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License Number State | CA
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