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General NPI Number Information
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NPI Number | 1376036962
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Entity Type | Organization
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Legal Business Name | DAVID A. YATES & ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 4500 S. DIXIELAND RD. STE 102
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City | ROGERS
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State | AR
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Zip | 72758-8126
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Country | US
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Telephone | 479-319-4543
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Fax | 479-319-4571
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Provider Business Mailing Address
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Address Line | PO BOX 9303
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City | JONESBORO
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State | AR
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Zip | 72403-9303
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Country | US
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Telephone | 870-932-6436
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Fax | 870-932-3934
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Authorized Official
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Title or Position | EVP OF LICENSURE & ACCREDITATION
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Name | KYLE MICHAEL VOLZ
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Credential |
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Telephone | 814-777-0825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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