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General NPI Number Information
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NPI Number | 1437528817
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Entity Type | Organization
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Legal Business Name | CHARLES S. YANOFSKY, MD
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Dates
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Enumeration Date | 09/16/2015
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Last Update Date | 09/16/2015
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Provider Practice Location Address
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Address Line | 120 PELHAM RD
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City | CAMP HILL
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State | PA
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Zip | 17011-1352
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Country | US
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Telephone | 717-265-3859
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Fax |
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Provider Business Mailing Address
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Address Line | 3920 MARKET ST
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City | CAMP HILL
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State | PA
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Zip | 17011-4202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | CHARLES YANOFSKY
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Credential |
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Telephone | 717-265-3859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD024683E
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License Number State | PA
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