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General NPI Number Information
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NPI Number | 1780870428
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Entity Type | Individual
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Provider Name | YANIS BOUMBER MD
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Gender | Male
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1000 MCKINLEY PARK DR
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City | MARION
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State | OH
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Zip | 43302-6399
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Country | US
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Telephone | 740-383-7830
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7527
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City | DUBLIN
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State | OH
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Zip | 43017-0727
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Country | US
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Telephone |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 036151765
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD449281
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD2015-0521
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35.154659
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 47426
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License Number State | AL
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Taxonomy #6
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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 |
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