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General NPI Number Information
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NPI Number | 1265745905
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Entity Type | Individual
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Provider Name | NISREEN M.A. H. YAGHMOUR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1005 PENNSLYVANIA AVE 207
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City | OTTUMWA
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State | IA
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Zip | 52501-6414
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Country | US
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Telephone | 641-682-5349
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Fax | 515-246-4474
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Provider Business Mailing Address
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Address Line | PO BOX 9170
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City | DES MOINES
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State | IA
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Zip | 50306-9170
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Country | US
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Telephone | 515-633-3600
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Fax | 515-633-3838
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18063
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD-47955
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 67366
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License Number State | WI
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