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General NPI Number Information
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NPI Number | 1225034986
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Entity Type | Individual
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Provider Name | YARED AKLILU M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 4750 N FEDERAL HWY STE 200
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4609
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Country | US
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Telephone | 954-489-2260
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Fax | 954-489-2261
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Provider Business Mailing Address
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Address Line | 4750 N FEDERAL HWY STE 200
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City | FT LAUDERDALE
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State | FL
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Zip | 33308-4609
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Country | US
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Telephone | 954-489-2260
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Fax | 954-489-2261
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME73773
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License Number State | FL
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