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General NPI Number Information
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NPI Number | 1437700754
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Entity Type | Organization
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Legal Business Name | YASINMD PLLC
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 13304 RIDGEMOOR DR
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City | PROSPECT
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State | KY
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Zip | 40059-7139
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Country | US
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Telephone | 347-484-7439
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Fax |
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Provider Business Mailing Address
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Address Line | 13304 RIDGEMOOR DR
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City | PROSPECT
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State | KY
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Zip | 40059-7139
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Country | US
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Telephone | 347-484-7439
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | MUHAMMAD YASIN
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Credential |
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Telephone | 347-484-7439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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