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General NPI Number Information
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NPI Number | 1174839229
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Entity Type | Individual
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Provider Name | JEFFREY FINN YODER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 1409 N ASHLAND AVE 3S
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City | CHICAGO
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State | IL
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Zip | 60622-2224
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Country | US
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Telephone | 317-414-2819
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 N ASHLAND AVE 3S
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City | CHICAGO
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State | IL
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Zip | 60622-2224
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Country | US
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Telephone | 317-414-2819
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 125053586
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License Number State | IL
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