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General NPI Number Information
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NPI Number | 1346400850
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Entity Type | Individual
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Provider Name | BRETT M YOCKEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1704 N CAPITOL RM B335 METHODIST HOSPITAL B BLDG
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-0000
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Country | US
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Telephone | 317-962-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 5325 CENTRAL AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-3040
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Country | US
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Telephone | 317-519-9389
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 11014419A
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License Number State | IN
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