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General NPI Number Information
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NPI Number | 1356413835
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Entity Type | Individual
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Provider Name | EMMANUEL A YANELLI D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 6847 N CHESTNUT ST SUITE 200
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City | RAVENNA
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State | OH
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Zip | 44266-3929
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Country | US
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Telephone | 330-296-9606
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Fax | 330-297-9835
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Provider Business Mailing Address
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Address Line | 3576 SANDY LAKE RD
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City | RAVENNA
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State | OH
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Zip | 44266-8601
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Country | US
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Telephone | 330-297-9956
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34-008083
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License Number State | OH
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