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General NPI Number Information
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NPI Number | 1124778634
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Entity Type | Individual
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Provider Name | FARZANA IBNAT YEASMIN DO
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Gender | Female
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Dates
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Enumeration Date | 03/27/2022
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1840 S STAPLEY DR STE 101
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City | MESA
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State | AZ
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Zip | 85204-6682
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Country | US
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Telephone | 800-233-3264
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Fax |
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Provider Business Mailing Address
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Address Line | 8888 E RAINTREE DR STE 300
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3968
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 011936
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License Number State | AZ
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