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General NPI Number Information
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NPI Number | 1306096797
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Entity Type | Organization
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Legal Business Name | JAMES FM YANNEY DDS MD
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 1672 WILLAMETTE FALLS DR SUITE #D
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City | WEST LINN
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State | OR
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Zip | 97068-4661
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Country | US
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Telephone | 503-722-4377
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Fax | 503-722-4413
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Provider Business Mailing Address
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Address Line | 1672 WILLAMETTE FALLS DR SUITE #D
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City | WEST LINN
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State | OR
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Zip | 97068-4661
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Country | US
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Telephone | 503-722-4377
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Fax | 503-722-4413
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES F.M. YANNEY
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Credential | MD
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Telephone | 503-722-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | MD15327
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License Number State | OR
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