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General NPI Number Information
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NPI Number | 1629033840
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Entity Type | Individual
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Provider Name | SURAIYA YASMIN MD
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Gender | Female
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1831 N BELCHER RD STE G1
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City | CLEARWATER
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State | FL
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Zip | 33765-1453
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Country | US
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Telephone | 727-724-9656
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Fax | 727-725-8589
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Provider Business Mailing Address
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Address Line | PO BOX 850001
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City | ORLANDO
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State | FL
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Zip | 32885-0001
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Country | US
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Telephone | 727-375-0848
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Fax | 727-375-5548
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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 | 81243
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License Number State | FL
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