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General NPI Number Information
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NPI Number | 1306891924
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Entity Type | Individual
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Provider Name | IGOR M YAMPOLSKY MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 HANOVER AVE
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City | ALLENTOWN
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State | PA
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Zip | 18109-2408
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Country | US
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Telephone | 610-740-3302
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Fax | 610-740-3413
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Provider Business Mailing Address
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Address Line | 1650 VALLEY CENTER PKWY SUITE 100
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City | BETHLEHEM
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State | PA
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Zip | 18017-2344
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Country | US
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Telephone | 484-884-4436
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Fax | 484-884-4444
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD425634
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License Number State | PA
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