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General NPI Number Information
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NPI Number | 1255345666
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Entity Type | Individual
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Provider Name | DENNIS SAMUEL YAWORSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3315 BURKE RD SUITE 306
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City | PASADENA
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State | TX
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Zip | 77504-1827
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Country | US
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Telephone | 713-943-2300
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Fax | 713-943-2821
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Provider Business Mailing Address
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Address Line | 3315 BURKE RD SUITE 306
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City | PASADENA
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State | TX
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Zip | 77504-1827
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Country | US
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Telephone | 713-943-2300
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Fax | 713-943-2821
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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 | F5103
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License Number State | TX
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