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General NPI Number Information
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NPI Number | 1922796085
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Entity Type | Organization
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Legal Business Name | YAKOBY INTERNAL MEDICINE
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 14550 N FRANK LLOYD WRIGHT BLVD
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-8824
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Country | US
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Telephone | 623-445-1110
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Fax | 480-405-0089
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Provider Business Mailing Address
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Address Line | 4825 E ST JOHN RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-0017
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Country | US
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Telephone | 623-445-1110
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Fax | 800-727-7806
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. MATY YAKOBY
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Credential | M.D.
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Telephone | 516-815-4918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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