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General NPI Number Information
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NPI Number | 1932587169
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Entity Type | Individual
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Provider Name | VIKTORIYA YANCHUK D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 7325 MEDICAL CENTER DR STE 205
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City | WEST HILLS
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State | CA
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Zip | 91307-4119
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Country | US
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Telephone | 747-302-4123
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Fax | 747-356-4349
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Provider Business Mailing Address
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Address Line | 155 N LAKE AVE STE 800
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City | PASADENA
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State | CA
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Zip | 91101-1857
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Country | US
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Telephone |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 20A16375
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20A16375
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 20A16375
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207RB0002X
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Taxonomy Name | Obesity Medicine (Internal Medicine) Physician
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License Number | 20A16375
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License Number State | CA
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