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General NPI Number Information
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NPI Number | 1528877081
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Entity Type | Organization
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Legal Business Name | M YAZIJI MD
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 18 STEVENSON DR
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City | MARLBORO
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State | NJ
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Zip | 07746-2722
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Country | US
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Telephone | 551-502-9126
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Fax |
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Provider Business Mailing Address
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Address Line | 18 STEVENSON DR
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City | MARLBORO
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State | NJ
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Zip | 07746-2722
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. MUATAZ YAZIJI
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Credential | MD
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Telephone | 551-502-9126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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