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General NPI Number Information
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NPI Number | 1821301698
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Entity Type | Individual
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Provider Name | JIHAD YAHIA JBARA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 911 NORTHLAND DR
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City | PRINCETON
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State | MN
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Zip | 55371-2172
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Country | US
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Telephone | 763-389-1313
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Fax | 763-389-6306
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Provider Business Mailing Address
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Address Line | 1 SEAGATE STE 800
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City | TOLEDO
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State | OH
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Zip | 43604-1558
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Country | US
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Telephone | 989-583-4220
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301097426
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35129717
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4301097426
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3759-320
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35129717
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 75720
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License Number State | MN
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