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General NPI Number Information
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NPI Number | 1902884356
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Entity Type | Organization
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Legal Business Name | ILHAN YILDIZ M.D. PROFESSIONAL ASSOCIATION
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 2404 YONKERS ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-1820
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Country | US
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Telephone | 806-296-7881
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Fax | 806-293-2053
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Provider Business Mailing Address
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Address Line | 2404 YONKERS ST
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City | PLAINVIEW
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State | TX
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Zip | 79072-1820
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Country | US
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Telephone | 806-296-7881
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Fax | 806-293-2053
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Authorized Official
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Title or Position | PRESIDENT
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Name | ILHAN YILDIZ
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Credential | M.D.
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Telephone | 806-296-7881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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