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General NPI Number Information
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NPI Number | 1427048875
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Entity Type | Individual
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Provider Name | CARL F YAEGER MD
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 18399 CORRAL DEL CIELO RD
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City | CORRAL DE TIERRA
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State | CA
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Zip | 93908-9197
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Country | US
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Telephone | 831-484-2484
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Fax | 831-484-2484
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Provider Business Mailing Address
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Address Line | 18399 CORRAL DEL CIELO RD
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City | CORRAL DE TIERRA
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State | CA
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Zip | 93908-9197
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Country | US
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Telephone | 831-484-2484
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Fax | 831-484-2484
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | A24133
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 38722
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License Number State | KY
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