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General NPI Number Information
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NPI Number | 1447453147
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Entity Type | Individual
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Provider Name | STEVEN GEORGE YANNARAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD BOX 100286
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-265-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 2306 SW 13TH ST APT 604
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City | GAINESVILLE
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State | FL
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Zip | 32608-2083
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Country | US
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Telephone | 352-642-6991
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 11154
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 11154
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD445102
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | D74104
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 0101251963
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License Number State | VA
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