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General NPI Number Information
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NPI Number | 1891940334
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Entity Type | Individual
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Provider Name | DR. YASMIN SHAYESTEH
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Gender | Female
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3901 HOYT AVE
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City | EVERETT
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State | WA
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Zip | 98201-4918
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Country | US
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Telephone | 425-339-5435
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Fax | 708-216-3557
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Provider Business Mailing Address
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Address Line | PO BOX 5127
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City | EVERETT
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State | WA
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Zip | 98206-5127
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Country | US
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Telephone | 425-258-3900
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036133760
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD60574562
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | MD60574562
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License Number State | WA
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