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General NPI Number Information
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NPI Number | 1124096896
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Entity Type | Individual
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Provider Name | DOUGLAS W YODER M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 1725 S MAIN ST
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City | FINDLAY
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State | OH
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Zip | 45840-1322
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Country | US
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Telephone | 419-423-0424
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Fax | 419-423-0641
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Provider Business Mailing Address
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Address Line | 1030 HURD AVE
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City | FINDLAY
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State | OH
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Zip | 45840-2212
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Country | US
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Telephone | 419-424-9931
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Fax | 419-423-0641
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35074179Y
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License Number State | OH
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