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General NPI Number Information
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NPI Number | 1083633135
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Entity Type | Organization
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Legal Business Name | SAMI F. YASIN MD PC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 199 STATE RT 284
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City | WANTAGE
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State | NJ
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Zip | 07461-3417
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Country | US
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Telephone | 973-875-7121
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Fax | 973-875-7123
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Provider Business Mailing Address
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Address Line | 199 STATE RT 284
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City | SUSSEX
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State | NJ
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Zip | 07461-3417
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Country | US
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Telephone | 973-875-7121
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Fax | 973-875-7123
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. SAMI YASIN
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Credential | MD
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Telephone | 973-875-7121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 197792-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 4301087529
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 25MA05330800
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License Number State | NJ
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