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General NPI Number Information
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NPI Number | 1063513828
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Entity Type | Organization
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Legal Business Name | F.E. YUZON, M.D. INC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 3885 OBERLIN AVE
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City | LORAIN
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State | OH
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Zip | 44053-2842
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Country | US
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Telephone | 440-282-5100
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Fax | 440-282-1302
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Provider Business Mailing Address
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Address Line | 3885 OBERLIN AVE
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City | LORAIN
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State | OH
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Zip | 44053-2842
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Country | US
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Telephone | 440-282-5100
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Fax | 440-282-1302
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | JUDY KLEKOTA
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Credential | CPCS
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Telephone | 440-233-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35035173
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License Number State | OH
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