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General NPI Number Information
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NPI Number | 1730641317
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Entity Type | Individual
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Provider Name | YASEEN I KADURA MD
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Gender | Male
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1945 ROUTE 33
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City | NEPTUNE CITY
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-775-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 7901 BROADWAY # D10-36
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City | ELMHURST
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State | NY
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Zip | 11373-1329
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Country | US
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Telephone | 718-334-3570
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Fax | 718-334-5006
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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 | 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 | AR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 325975
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME161585
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License Number State | FL
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