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General NPI Number Information
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NPI Number | 1386095040
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Entity Type | Individual
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Provider Name | YASMIN AL-ATRACHE P.A.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3162 W MARTIN LUTHER KING JR BLVD STE 13&14
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-7679
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Country | US
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Telephone | 479-751-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 614 E EMMA AVE STE 300
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City | SPRINGDALE
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State | AR
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Zip | 72764-4469
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Country | US
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Telephone | 479-751-7417
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA031265
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 1130579
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA031265
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License Number State | DC
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-1396
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License Number State | AR
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