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General NPI Number Information
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NPI Number | 1033670997
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Entity Type | Individual
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Provider Name | YAFET MAMO MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 700 CHILDRENS DR # ED3025C2
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City | COLUMBUS
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State | OH
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Zip | 43205-2639
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Country | US
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Telephone | 614-722-5315
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Fax | 614-355-1597
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Provider Business Mailing Address
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Address Line | 700 CHILDRENS DR
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City | COLUMBUS
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State | OH
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Zip | 43205-2664
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Country | US
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Telephone | 614-722-5315
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Fax | 614-355-1597
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 35.154552
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207ZC0006X
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Taxonomy Name | Clinical Pathology Physician
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License Number | 35.154552
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License Number State | OH
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