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NPI 1033668686

NPI 1033668686 : PHILIP JAMES YINGER PA-C, MMSC : HERSHEY, PA

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General NPI Number Information
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    NPI Number           |    1033668686
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    Entity Type          |    Individual 
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    Provider Name        |    PHILIP JAMES YINGER PA-C, MMSC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/23/2016
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    Last Update Date     |    09/23/2016
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Provider Practice Location Address
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    Address Line         |    500 UNIVERSITY DR 
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    City                 |    HERSHEY
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    State                |    PA
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    Zip                  |    17033-2360
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    Country              |    US
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    Telephone            |    717-531-8156
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    Fax                  |    717-531-6776
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Provider Business Mailing Address
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    Address Line         |    500 UNIVERSITY DR MAIL CODE: H040
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    City                 |    HERSHEY
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    State                |    PA
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    Zip                  |    17033-2360
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    Country              |    US
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    Telephone            |    717-531-8156
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    Fax                  |    717-531-6776
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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       |    MA058360
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    License Number State |    PA
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