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Individual
DR. YARA FATTOUH
Active
Individual
DR. YARA FATTOUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053522
GA
207Q00000X
Family Medicine Physician
53522
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270193875
TA ID NUMBER
GA
05
—
837893819A
—
GA
Enumeration date
09/23/2005
Last updated
06/06/2012
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