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General NPI Number Information
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NPI Number | 1972308906
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Entity Type | Individual
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Provider Name | YANAY ALMALEM
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Gender | Male
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1355 W BRIERBROOK RD
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City | GERMANTOWN
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State | TN
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Zip | 38138-2208
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Country | US
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Telephone | 901-390-2930
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Fax |
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Provider Business Mailing Address
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Address Line | 153 HARBOR VILLAGE DR APT 102
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City | MEMPHIS
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State | TN
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Zip | 38103-5869
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Country | US
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Telephone | 901-574-9614
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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