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General NPI Number Information
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NPI Number | 1154900561
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Entity Type | Individual
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Provider Name | SINAN YAQOOB
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Gender | Male
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Dates
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Enumeration Date | 04/04/2021
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 2823 FRESNO ST
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City | FRESNO
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State | CA
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Zip | 93721-1324
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Country | US
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Telephone | 559-459-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 S COULTER ST STE 2500
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City | AMARILLO
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State | TX
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Zip | 79106-1786
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Country | US
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Telephone | 806-414-9100
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Fax | 806-354-5717
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A196197
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License Number State | CA
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