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General NPI Number Information
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NPI Number | 1932725264
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Entity Type | Individual
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Provider Name | AARON LEO YAZDIAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 1335 SOUTH ST APT A
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1841
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Country | US
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Telephone | 615-473-2457
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 SOUTH ST APT A
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1841
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Country | US
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Telephone | 615-473-2457
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT220275
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License Number State | PA
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