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General NPI Number Information
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NPI Number | 1225545320
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Entity Type | Organization
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Legal Business Name | YONICK PLASTIC SURGERY PC
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 555 W WACKERLY ST STE 3625
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City | MIDLAND
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State | MI
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Zip | 48640-4715
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Country | US
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Telephone | 989-495-2723
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Fax | 989-495-2724
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Provider Business Mailing Address
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Address Line | 555 W WACKERLY ST STE 3625
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City | MIDLAND
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State | MI
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Zip | 48640-4715
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Country | US
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Telephone | 989-495-2723
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Fax | 989-495-2724
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Authorized Official
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Title or Position | OWNER
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Name | DAVID YONICK
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Credential |
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Telephone | 989-495-2723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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