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General NPI Number Information
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NPI Number | 1477295426
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Entity Type | Individual
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Provider Name | DR. YASSER JAZAIRI
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Gender | Male
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 23036 STATE ROAD 54 STE 403
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City | LUTZ
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State | FL
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Zip | 33549-6968
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Country | US
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Telephone | 813-909-1317
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Fax |
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Provider Business Mailing Address
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Address Line | 23036 FL-54 SPC 403, LUTZ, FL 33549
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City | LUTZ
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State | FL
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Zip | 33549-2601
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Country | US
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Telephone | 813-909-1317
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | RES.004439
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 29521
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 29521
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License Number State | FL
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