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General NPI Number Information
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NPI Number | 1114953031
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Entity Type | Individual
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Provider Name | MARK E YUSKA DPM
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 1720 HIGHWAY 59 S
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701
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Country | US
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Telephone | 218-681-4747
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Fax | 218-683-2595
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Provider Business Mailing Address
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Address Line | 1720 HIGHWAY 59 S
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-4331
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Country | US
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Telephone | 218-681-4747
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Fax | 218-683-2595
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 592
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License Number State | MN
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