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General NPI Number Information
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NPI Number | 1124241666
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Entity Type | Individual
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Provider Name | MICHAEL HARRISON YARD D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 1500 W ICE LAKE RD
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City | IRON RIVER
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State | MI
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Zip | 49935-8509
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Country | US
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Telephone | 906-265-5378
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Fax | 906-265-6332
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Provider Business Mailing Address
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Address Line | 26375 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1263
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Country | US
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Telephone | 906-225-3630
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Fax | 906-225-4537
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS3047
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License Number State | FL
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