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General NPI Number Information
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NPI Number | 1063529600
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Entity Type | Individual
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Provider Name | KABALANE ASSAF YAMMINE MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | BEIT EL CHAAR, MARINA EL ACHKAR BUILDING, 3RD FLOOR
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City | BEIRUT
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State | --
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Zip | 75500
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Country | LB
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Telephone | 961-491-0098
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Fax | 961-491-0098
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Provider Business Mailing Address
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Address Line | 3 DEACON AVENUE
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City | RICHMOND
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State | SA
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Zip | 5033
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Country | AU
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Telephone | 82348311
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Fax | 82348355
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101232496
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD0720841L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35-082445Y
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07598300
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 43010 83211
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 042298
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License Number State | CT
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01058968A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0062997
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License Number State | MD
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | IL
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