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General NPI Number Information
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NPI Number | 1124101720
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Entity Type | Individual
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Provider Name | ADIL YAMOUR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 4 COMMERCIAL AVE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-2197
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Country | US
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Telephone | 740-333-7507
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Fax | 740-335-3124
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Provider Business Mailing Address
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Address Line | 4 COMMERCIAL AVE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-2197
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Country | US
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Telephone | 740-333-7507
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Fax | 740-335-3124
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 35-04-7500Y
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License Number State | OH
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