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General NPI Number Information
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NPI Number | 1083803837
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Entity Type | Organization
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Legal Business Name | MARK YEAKLEY MD PA
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 7102 SHIPP RD
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City | ROWLETT
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State | TX
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Zip | 75088-4226
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Country | US
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Telephone | 877-305-2771
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Fax | 972-226-8359
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Provider Business Mailing Address
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Address Line | 7102 SHIPP RD
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City | ROWLETT
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State | TX
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Zip | 75088-4226
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Country | US
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Telephone | 972-226-8359
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Fax | 972-226-8359
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARK YEAKLEY
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Credential | MD
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Telephone | 877-305-2771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | E9469
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License Number State | TX
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