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General NPI Number Information
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NPI Number | 1043352107
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Entity Type | Organization
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Legal Business Name | HENRY M. YAGER, MD PC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 2014 WASHINGTON ST
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City | NEWTON
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State | MA
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Zip | 02462-1607
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Country | US
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Telephone | 617-244-6940
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BOYLSTON STREET C/O CENTURY BANK
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City | NEWTON
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State | MA
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Zip | 02467
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Country | US
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Telephone | 617-244-6940
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HENRY MARTIN YAGER
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Credential |
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Telephone | 612-244-6940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 33779
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License Number State | MA
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