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General NPI Number Information
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NPI Number | 1992150460
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Entity Type | Individual
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Provider Name | MOSHE YATZKAN
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Gender | Male
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 18951 N MEMORIAL DR
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City | HUMBLE
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State | TX
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Zip | 77338-4217
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Country | US
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Telephone | 281-540-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 18123 CABIN GREEN CT
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City | HUMBLE
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State | TX
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Zip | 77346-3408
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Country | US
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Telephone | 305-562-9398
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME139023
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | V2343
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License Number State | TX
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