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General NPI Number Information
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NPI Number | 1154499606
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Entity Type | Individual
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Provider Name | YAKIR MUSZKAT M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 30795 23 MILE RD STE 206
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City | CHESTERFIELD TWP
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State | MI
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Zip | 48047-5721
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Country | US
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Telephone | 586-598-5731
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Fax |
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Provider Business Mailing Address
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Address Line | 30795 23 MILE RD 206
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City | CHESTERFIELD
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State | MI
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Zip | 48047-5721
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Country | US
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Telephone | 586-598-5731
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 066321
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License Number State | MI
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