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General NPI Number Information
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NPI Number | 1235513243
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Entity Type | Organization
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Legal Business Name | JOSEPH L YEARGAIN DPM PLLC
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Dates
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Enumeration Date | 07/20/2015
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 3801 GASTON AVE SUITE 330
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City | DALLAS
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State | TX
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Zip | 75246-1541
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Country | US
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Telephone | 214-824-3851
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Fax | 214-824-3852
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Provider Business Mailing Address
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Address Line | 3801 GASTON AVE SUITE 330
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City | DALLAS
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State | TX
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Zip | 75246-1541
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Country | US
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Telephone | 214-824-3851
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Fax | 214-824-3852
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH LEE YEARGAIN
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Credential | DPM
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Telephone | 214-824-3852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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