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General NPI Number Information
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NPI Number | 1962572925
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Entity Type | Individual
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Provider Name | CYRUS YAGHMAI MD
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 250 N 1ST ST
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City | BLYTHE
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State | CA
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Zip | 92225
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Country | US
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Telephone | 760-774-6579
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Fax |
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Provider Business Mailing Address
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Address Line | 23559 MARIANO ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4143
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Country | US
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Telephone | 760-774-6579
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A56287
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License Number State | CA
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