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General NPI Number Information
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NPI Number | 1134174386
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Entity Type | Individual
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Provider Name | JAIME B YAMAT MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 10200 W INNOVATION DR STE 700
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City | MILWAUKEE
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State | WI
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Zip | 53226-4827
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Country | US
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Telephone | 414-302-9196
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 W GLEN OAKS LN SUITE 105
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City | MEQUON
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State | WI
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Zip | 53092-3365
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Country | US
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Telephone | 414-365-3210
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Fax | 414-365-2937
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 19242
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License Number State | WI
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