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General NPI Number Information
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NPI Number | 1053543009
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Entity Type | Individual
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Provider Name | YANAL MASANNAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 11518 N FRONTAGE RD
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City | YUMA
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State | AZ
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Zip | 85367-8994
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Country | US
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Telephone | 928-342-6500
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Fax | 928-342-6863
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Provider Business Mailing Address
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Address Line | PO BOX 669
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City | YUMA
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State | AZ
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Zip | 85366-2329
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Country | US
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Telephone | 520-476-3503
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 48419
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License Number State | AZ
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