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General NPI Number Information
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NPI Number | 1144909128
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Entity Type | Organization
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Legal Business Name | TREVOR YARDLEY PLLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 6780 MANASOTA KEY RD
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City | ENGLEWOOD
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State | FL
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Zip | 34223-9263
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Country | US
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Telephone | 814-243-6870
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Fax | 240-363-0256
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Provider Business Mailing Address
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Address Line | 6780 MANASOTA KEY RD
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City | ENGLEWOOD
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State | FL
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Zip | 34223-9263
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Country | US
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Telephone | 814-243-6870
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Fax | 240-363-0256
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. TREVOR YARDLEY
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Credential | MD
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Telephone | 814-243-6870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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