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General NPI Number Information
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NPI Number | 1235115585
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Entity Type | Individual
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Provider Name | DR. STUART G. YEOMAN
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Gender | Male
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 1791 ASHLEY CIR
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3339
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Country | US
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Telephone | 270-781-4090
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Fax | 270-842-3133
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Provider Business Mailing Address
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Address Line | 1791 ASHLEY CIR
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3339
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Country | US
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Telephone | 270-781-4090
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Fax | 270-842-3133
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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 | 19176
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License Number State | KY
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