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General NPI Number Information
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NPI Number | 1083894166
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Entity Type | Organization
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Legal Business Name | FRANK YANNUCCI DPM INC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 03/09/2010
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Provider Practice Location Address
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Address Line | 30 N MAIN ST
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City | HUBBARD
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State | OH
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Zip | 44425-1653
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Country | US
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Telephone | 330-534-3990
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Fax | 330-534-3994
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Provider Business Mailing Address
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Address Line | 30 N MAIN ST
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City | HUBBARD
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State | OH
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Zip | 44425-1653
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Country | US
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Telephone | 330-534-3990
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Fax | 330-534-3994
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Authorized Official
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Title or Position | PRESIDENT
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Name | FRANK YANNUCCI
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Credential | DPM
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Telephone | 330-534-3990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36.003061
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License Number State | OH
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