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General NPI Number Information
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NPI Number | 1497069074
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Entity Type | Individual
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Provider Name | CHASE J YERGER DMD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 2904 MALLET LN
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City | MILES CITY
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State | MT
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Zip | 59301-8526
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Country | US
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Telephone | 406-233-1241
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Fax | 406-232-2031
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Provider Business Mailing Address
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Address Line | 2200 BOX ELDER ST SUITE 121
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City | MILES CITY
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State | MT
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Zip | 59301-2899
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Country | US
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Telephone | 406-232-2214
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Fax | 406-232-2031
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2419
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License Number State | MT
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