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General NPI Number Information
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NPI Number | 1053419242
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Entity Type | Individual
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Provider Name | WILLIAM L YEATON MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 34 ASH ST
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City | DOVER
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State | NH
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Zip | 03820-3026
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Country | US
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Telephone | 603-749-6532
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 983
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City | DOVER
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State | NH
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Zip | 03821-0983
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Country | US
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Telephone | 603-749-6532
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G60681
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License Number State | CA
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