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General NPI Number Information
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NPI Number | 1497768980
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Entity Type | Individual
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Provider Name | JAMES EUGENE YARBOROUGH JR. O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6600 GLENWOOD AVE
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City | RALEIGH
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State | NC
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Zip | 27612-7128
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Country | US
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Telephone | 919-783-9550
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Fax | 919-783-0377
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Provider Business Mailing Address
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Address Line | 201 SUMMERWINDS DR
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City | CARY
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State | NC
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Zip | 27511-9640
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Country | US
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Telephone | 919-859-2215
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Fax | 919-859-9303
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1065
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License Number State | NC
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