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General NPI Number Information
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NPI Number | 1144386863
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Entity Type | Individual
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Provider Name | ROBERT YODASHKIN MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 2905 S CONGRESS AVE SUITE D
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City | DELRAY BEACH
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State | FL
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Zip | 33445-7337
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Country | US
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Telephone | 561-243-2070
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Fax | 561-243-2080
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Provider Business Mailing Address
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Address Line | 2905 S CONGRESS AVE SUITE D
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City | DELRAY BEACH
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State | FL
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Zip | 33445-7337
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Country | US
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Telephone | 561-243-2070
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Fax | 561-243-2080
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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 | 133732
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME98252
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License Number State | FL
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