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General NPI Number Information
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NPI Number | 1952562159
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Entity Type | Individual
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Provider Name | ALLEN BENJAMIN YEROUSHALMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 9001 WILSHIRE BLVD STE 306
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-1841
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Country | US
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Telephone | 424-666-1597
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Fax |
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Provider Business Mailing Address
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Address Line | 20058 VENTURA BLVD # 139
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-2637
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Country | US
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Telephone | 914-725-5556
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Fax | 914-725-5597
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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 | A112058
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License Number State | CA
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