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General NPI Number Information
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NPI Number | 1467833459
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Entity Type | Individual
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Provider Name | EDWARD YEICH CRNP, FNP
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Gender | Male
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 728 N DUKE ST
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City | LANCASTER
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State | PA
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Zip | 17602-2020
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Country | US
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Telephone | 717-625-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 740 N DUKE ST APT 5J
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City | LANCASTER
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State | PA
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Zip | 17602-2061
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Country | US
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Telephone | 717-925-0024
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95002513
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP016031
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License Number State | PA
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