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General NPI Number Information
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NPI Number | 1306157458
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Entity Type | Individual
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Provider Name | YAZAN MIGDADY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1721 E 19TH AVE STE 200
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City | DENVER
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State | CO
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Zip | 80218-1242
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Country | US
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Telephone | 720-748-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 E 19TH AVE STE 200
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City | DENVER
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State | CO
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Zip | 80218-1242
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Country | US
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Telephone | 720-748-4800
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | LP01899
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME115594
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | MD205893
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 72189
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License Number State | CO
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