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General NPI Number Information
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NPI Number | 1811189764
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Entity Type | Organization
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Legal Business Name | YASINS MEDICAL
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 10017 CARRIE LN
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City | SHAWNEE
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State | KS
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Zip | 66203-4225
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Country | US
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Telephone | 913-515-2667
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Fax | 913-362-5994
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Provider Business Mailing Address
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Address Line | 10017 CARRIE LN
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City | SHAWNEE
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State | KS
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Zip | 66203-4225
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Country | US
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Telephone | 913-515-2667
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Fax | 913-362-5994
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NURA YASIN
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Credential | M.D.
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Telephone | 913-515-2667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0431966
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License Number State | KS
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