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General NPI Number Information
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NPI Number | 1306998695
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Entity Type | Individual
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Provider Name | EDGARDO RAMOS YUTANGCO MD
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 1616 CEDAR ST
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City | MUSCATINE
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State | IA
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Zip | 52761-3453
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Country | US
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Telephone | 563-262-4120
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Fax | 563-264-3793
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Provider Business Mailing Address
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Address Line | 1518 MULBERRY AVE
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City | MUSCATINE
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State | IA
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Zip | 52761-3433
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Country | US
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Telephone | 563-262-4120
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Fax | 563-264-3793
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 38263
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License Number State | IA
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