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General NPI Number Information
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NPI Number | 1659876308
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Entity Type | Individual
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Provider Name | MUNEEB AKBAR ILYAS D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 6820 RIDGE ROAD SUITE #204
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City | PARMA
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State | OH
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Zip | 44129-5647
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Country | US
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Telephone | 440-845-1146
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Fax | 440-845-4023
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Provider Business Mailing Address
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Address Line | 2000 AUBURN DR. STE. 350
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City | BEACHWOOD
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State | OH
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Zip | 44122-4327
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Country | US
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Telephone | 440-646-1600
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Fax | 440-646-1505
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 0102207757
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 34.017077
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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