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General NPI Number Information
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NPI Number | 1306536875
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Entity Type | Individual
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Provider Name | YASAR AHTSHAM MD
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Gender | Male
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Dates
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Enumeration Date | 05/09/2023
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | DIPUTADO RICARDO VALENZUELA SAEZ 597 PARQUE BALUARTE, REGION LIBERTADOR BERNARDO OHIGGINS
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City | RENGO
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State | RENGO
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Zip | 2940000
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Country | CL
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Telephone | 5-694-9929
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Fax |
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Provider Business Mailing Address
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Address Line | DIPUTADO RICARDO VALENZUELA SAEZ 597 PARQUE BALUARTE, REGION LIBERTADOR BERNARDO OHIGGINS
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City | RENGO
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State | RENGO
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Zip | 294000
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Country | CL
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Telephone |
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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 | C1-0029443
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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