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General NPI Number Information
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NPI Number | 1720908395
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Entity Type | Organization
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Legal Business Name | YACOUB SIGNATURE MEDICINE PLLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 2009 S CAPITAL OF TEXAS HWY STE 325
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City | AUSTIN
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State | TX
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Zip | 78746-7737
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Country | US
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Telephone | 512-660-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 10712 STRAW FLOWER DR
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City | AUSTIN
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State | TX
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Zip | 78733-5752
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Country | US
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Telephone | 920-277-6064
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HAYAN YACOUB
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Credential | MD
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Telephone | 920-277-6064
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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 |
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License Number State |
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