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General NPI Number Information
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NPI Number | 1396232328
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Entity Type | Individual
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Provider Name | DIYA K ALNAJJAR MB.CHB.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 17803 LA CANTERA TER APT 17803
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City | SAN ANTONIO
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State | TX
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Zip | 78256-2545
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Country | US
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Telephone | 210-862-6141
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Fax |
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Provider Business Mailing Address
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Address Line | 40124 HIGHWAY 27 STE 104
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City | DAVENPORT
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State | FL
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Zip | 33837-5905
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Country | US
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Telephone | 863-421-7626
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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 | 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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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME160391
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License Number State | FL
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