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General NPI Number Information
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NPI Number | 1306842216
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Entity Type | Individual
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Provider Name | KHALIDA N/A YASMIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 1204
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City | LITTLE ELM
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State | TX
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Zip | 75068-1921
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Country | US
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Telephone | 972-292-0300
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Fax | 972-292-0301
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Provider Business Mailing Address
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Address Line | PO BOX 261724
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City | PLANO
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State | TX
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Zip | 75026-1724
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Country | US
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Telephone | 972-292-0300
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Fax | 972-292-0301
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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 | K7124
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License Number State | TX
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