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General NPI Number Information
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NPI Number | 1760434757
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Entity Type | Individual
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Provider Name | WAKILI SALIHU YARIMA MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 1120 15TH STREET AF 2036, EMERGENCY MEDICINE DEPARTMENT MEDICAL COLLEGE OF GEORGIA
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City | AUGUSTA
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State | GA
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Zip | 30912
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Country | US
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Telephone | 706-721-3046
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Fax |
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Provider Business Mailing Address
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Address Line | 3095 PARRISH RD SUITE A
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City | AUGUSTA
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State | GA
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Zip | 30907-0386
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Country | US
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Telephone | 706-945-0729
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 002348
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 004610
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 01359
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 004050-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N7191
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License Number State | TX
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