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General NPI Number Information
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NPI Number | 1316139660
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Entity Type | Individual
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Provider Name | MHD YASSER DARKAZALLY MD
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Gender | Male
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 4017 E PLANO PKWY STE 400
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City | PLANO
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State | TX
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Zip | 75074-1841
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Country | US
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Telephone | 972-379-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 4512 SHADE TREE CT
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City | SACHSE
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State | TX
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Zip | 75048-4597
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Country | US
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Telephone | 918-810-2524
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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 | 26163
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 26163
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V2052
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License Number State | TX
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