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General NPI Number Information
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NPI Number | 1073654240
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Entity Type | Individual
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Provider Name | ABDULLAH A YASSIN
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Gender | Male
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CALLE 9 E-10
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City | DOS RIOS-VALPARAISO
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State | PR
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Zip | 00949
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Country | US
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Telephone | 787-795-4181
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Fax | 787-753-7108
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Provider Business Mailing Address
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Address Line | E10 CALLE 9
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City | TOA BAJA
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State | PR
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Zip | 00949-4038
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Country | US
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Telephone | 787-784-5265
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Fax | 787-784-0900
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3819
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License Number State | PR
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