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General NPI Number Information
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NPI Number | 1508447061
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Entity Type | Individual
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Provider Name | AYAZ YUNUS GEN DO
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Gender | Male
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 3722 SOUTH HARLEM AVE LL34
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City | BERWYN
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State | IL
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Zip | 60402
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Country | US
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Telephone | 877-834-7264
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Fax |
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Provider Business Mailing Address
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Address Line | 5970 CHURCHVIEW DR
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City | ROCKFORD
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State | IL
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Zip | 61107-2574
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Country | US
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Telephone | 815-971-8990
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Fax | 815-971-9978
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.171094
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License Number State | IL
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