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General NPI Number Information
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NPI Number | 1427344647
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Entity Type | Individual
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Provider Name | YASIR U. AFZAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 513 PORTER ST
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City | HELENA
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State | AR
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Zip | 72342-3217
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Country | US
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Telephone | 870-817-0122
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Fax | 870-735-4379
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Provider Business Mailing Address
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Address Line | 900 N. 7TH ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301
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Country | US
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Telephone | 870-735-3842
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Fax | 870-735-4379
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-8747
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License Number State | AR
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