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General NPI Number Information
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NPI Number | 1487819132
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Entity Type | Individual
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Provider Name | YAZAN DUWAYRI M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 07/12/2011
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Provider Practice Location Address
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Address Line | DIVISION OF VASCULAR SURGERY EMORY CLINIC BLDG A 1365 CLIFTON ROAD NE. 3RD FLOOR
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-727-8413
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Fax | 404-727-3396
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Provider Business Mailing Address
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Address Line | DIVISION OF VASCULAR SURGERY EMORY CLINIC BLDG A 1365 CLIFTON ROAD NE. 3RD FLOOR
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City | ATLANTA
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State | GA
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Zip | 30322-0001
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Country | US
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Telephone | 404-727-8413
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Fax | 404-727-3396
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 065397
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License Number State | GA
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