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General NPI Number Information
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NPI Number | 1699610808
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Entity Type | Individual
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Provider Name | REZIKA MOHAMMED YESUF MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 917 PACIFIC AVE STE 600
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City | TACOMA
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State | WA
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Zip | 98402-4437
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Country | US
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Telephone | 208-401-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 YARWOOD CT
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City | SAN JOSE
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State | CA
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Zip | 95128-4727
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Country | US
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Telephone | 408-991-4726
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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 | ML-70124041
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License Number State | WA
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