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General NPI Number Information
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NPI Number | 1386220648
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Entity Type | Organization
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Legal Business Name | YEAGER OCULAR PROSTHETICS, LLC
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 2050 KEOKUK ST
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City | IOWA CITY
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State | IA
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Zip | 52240-4551
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Country | US
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Telephone | 319-337-9724
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Fax | 319-337-5445
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Provider Business Mailing Address
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Address Line | 2050 KEOKUK ST
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City | IOWA CITY
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State | IA
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Zip | 52240-4551
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Country | US
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Telephone | 319-337-9724
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Fax | 319-337-5445
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Authorized Official
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Title or Position | OWNER
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Name | HILLARY YEAGER
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Credential | BCO, BADO
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Telephone | 319-337-9724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1700X
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Taxonomy Name | Ocularist
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License Number |
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License Number State |
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