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General NPI Number Information
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NPI Number | 1497816862
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Entity Type | Individual
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Provider Name | YOLANDA N MAGETO MD
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 3410 WORTH ST SUITE 250
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City | DALLAS
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State | TX
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Zip | 75246-2003
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Country | US
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Telephone | 802-820-6856
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Fax | 214-820-5094
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Provider Business Mailing Address
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Address Line | 3410 WORTH ST SUITE 250
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City | DALLAS
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State | TX
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Zip | 75246-2003
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Country | US
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Telephone | 802-820-6856
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Fax | 214-820-5094
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 042-0011355
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 042-0011355
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | J2174
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License Number State | TX
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