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General NPI Number Information
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NPI Number | 1396336392
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Entity Type | Individual
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Provider Name | HIBA EL-YASSIN MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 6349 US HIGHWAY 550 CUBA, NM 87103
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City | CUBA
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State | NM
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Zip | 87103
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Country | US
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Telephone | 505-610-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 821 MAXINE ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87123-1206
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Country | US
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Telephone | 505-610-0550
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10002780
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 62690
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License Number State | NM
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