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General NPI Number Information
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NPI Number | 1679443816
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Entity Type | Individual
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Provider Name | DR. YASIR ALAM KHAN DURRANI
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Gender | Male
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 428 ROUTE 146
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City | ALTAMONT
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State | NY
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Zip | 12009-4409
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Country | US
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Telephone | 518-861-5141
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Fax |
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Provider Business Mailing Address
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Address Line | 717 PICKWICK DR
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City | VESTAL
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State | NY
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Zip | 13850-3132
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Country | US
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Telephone | 813-751-4574
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Fax |
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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 | P139611
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License Number State | NY
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