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General NPI Number Information
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NPI Number | 1972183580
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Entity Type | Individual
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Provider Name | YASIR ANZAR MD
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Gender | Male
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Dates
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Enumeration Date | 04/09/2021
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Last Update Date | 06/27/2024
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Provider Practice Location Address
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Address Line | 9110 BARKER CYPRESS RD
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City | CYPRESS
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State | TX
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Zip | 77433-3047
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Country | US
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Telephone | 281-746-4944
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Fax |
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Provider Business Mailing Address
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Address Line | 26800 WOODMONT DR APT 87
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City | PERRYSBURG
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State | OH
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Zip | 43551-7283
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Country | US
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Telephone | 404-663-1787
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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 | 35.149003
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License Number State | OH
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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 | V2014
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License Number State | TX
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