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General NPI Number Information
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NPI Number | 1457718108
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Entity Type | Organization
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Legal Business Name | PHILIP R. YARNELL, M.D., P.C.
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 11750 W 2ND PL MEDICAL PLAZA I SUITE 255
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City | LAKEWOOD
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State | CO
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Zip | 80228-1575
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Country | US
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Telephone | 303-534-1111
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Fax | 303-534-5052
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Provider Business Mailing Address
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Address Line | 3916 W CONEJOS PL
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City | DENVER
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State | CO
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Zip | 80204-1444
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Country | US
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Telephone | 303-534-1111
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Fax | 303-534-5052
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILIP R. YARNELL
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Credential | M.D.
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Telephone | 303-534-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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