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General NPI Number Information
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NPI Number | 1922188259
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Entity Type | Individual
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Provider Name | YOUSSEF LALEZARIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1740 S LOS ANGELES ST STE 104
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City | LOS ANGELES
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State | CA
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Zip | 90015-3631
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Country | US
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Telephone | 213-742-7777
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Fax | 213-742-0808
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Provider Business Mailing Address
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Address Line | 165 S LAYTON DR
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City | LOS ANGELES
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State | CA
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Zip | 90049-3035
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Country | US
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Telephone | 320-472-8525
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | A38247
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License Number State | CA
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