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General NPI Number Information
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NPI Number | 1457424608
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Entity Type | Individual
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Provider Name | MELVIN A YARLOTT JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 510 8TH AVE NE
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City | HAZEN
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State | ND
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Zip | 58545-4637
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Country | US
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Telephone | 701-748-2225
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Fax | 701-748-5757
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Provider Business Mailing Address
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Address Line | 510 8TH AVE NE
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City | HAZEN
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State | ND
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Zip | 58545-4637
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Country | US
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Telephone | 701-748-2225
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Fax | 701-748-5757
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 6615
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License Number State | ND
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