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General NPI Number Information
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NPI Number | 1649216771
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Entity Type | Individual
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Provider Name | YAHYA FADL MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 116 INTERSTATE PKWY
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City | BRADFORD
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State | PA
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Zip | 16701-1036
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Country | US
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Telephone | 814-368-3123
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 CENTER ST
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2815
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Country | US
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Telephone | 724-787-1801
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Fax | 757-345-5822
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD036592L
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License Number State | PA
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