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General NPI Number Information
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NPI Number | 1316016397
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Entity Type | Individual
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Provider Name | DEAN JARED YAMAGUCHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 115 HEART DR EAST CAROLINA HEART INSTITUTE AT ECU
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City | GREENVILLE
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State | NC
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Zip | 27834-8944
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Country | US
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Telephone | 252-744-4400
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Fax | 252-744-7623
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Provider Business Mailing Address
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Address Line | PO BOX 751069
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City | CHARLOTTE
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State | NC
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Zip | 28275-1069
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Country | US
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Telephone |
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2013-01240
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TRN10139
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 345107
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 2013-01204
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License Number State | NC
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