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General NPI Number Information
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NPI Number | 1427284710
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Entity Type | Individual
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Provider Name | YASSER A. ALBAHRANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 02/15/2025
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Provider Practice Location Address
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Address Line | 2805 PRINCE GEORGE AVE
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City | DESOTO
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State | TX
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Zip | 75115-2047
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Country | US
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Telephone | 214-269-3326
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Fax | 214-269-3327
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Provider Business Mailing Address
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Address Line | 2805 PRINCE GEORGE AVE
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City | DESOTO
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State | TX
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Zip | 75115-2047
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Country | US
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Telephone | 972-572-1122
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Fax | 972-572-1599
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | R1926
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | R1926
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207NP0225X
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Taxonomy Name | Pediatric Dermatology Physician
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License Number | R1926
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | R1926
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License Number State | TX
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