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General NPI Number Information
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NPI Number | 1134176357
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Entity Type | Individual
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Provider Name | YURI FEDORENKO MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 517 E DIVISION ST
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City | ROCKFORD
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State | MI
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Zip | 49341-1376
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Country | US
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Telephone | 616-974-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 4085 BURTON ST SE S-200
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2444
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Country | US
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Telephone |
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301068473
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License Number State | MI
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