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General NPI Number Information
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NPI Number | 1124283577
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Entity Type | Organization
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Legal Business Name | J STEVEN YANEY
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 4300 ROGERS AVE GREENPOINTE CENTER SUITE 46
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City | FORT SMITH
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State | AR
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Zip | 72903-3152
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Country | US
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Telephone | 479-785-0010
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Fax | 479-782-8478
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Provider Business Mailing Address
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Address Line | 4300 ROGERS AVE GREENPOINTE CENTER SUITE 46
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City | FORT SMITH
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State | AR
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Zip | 72903-3152
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Country | US
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Telephone | 479-785-0010
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Fax | 479-782-8478
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN STEVEN YANEY
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Credential | O.D.
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Telephone | 479-785-0010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2324
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License Number State | AR
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