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General NPI Number Information
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NPI Number | 1962104976
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Entity Type | Organization
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Legal Business Name | PEYMAN YOUNESI MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 375 COHASSET RD
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City | CHICO
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State | CA
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Zip | 95926-2211
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Country | US
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Telephone | 530-343-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 6136 170TH ST APT M4
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-1957
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Country | US
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Telephone | 718-709-0940
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PEYMAN E YOUNESI
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Credential | MD
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Telephone | 718-709-0940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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