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General NPI Number Information
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NPI Number | 1487651964
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Entity Type | Individual
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Provider Name | LAURA J YARD M.D
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Gender | Female
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 6124 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-4029
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Country | US
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Telephone | 941-925-6672
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Fax | 513-204-3476
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Provider Business Mailing Address
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Address Line | 6124 S TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34231-4029
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Country | US
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Telephone | 941-925-6672
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Fax | 513-204-3476
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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 | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | 35.135244
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | MD466715
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | ME68224
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License Number State | FL
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