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General NPI Number Information
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NPI Number | 1518984152
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Entity Type | Individual
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Provider Name | EDWARD R YEOMANS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 808 JOLIET AVE UNIT 130
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City | LUBBOCK
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State | TX
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Zip | 79415-1150
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Country | US
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Telephone | 806-761-0770
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Fax | 806-761-0776
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Provider Business Mailing Address
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Address Line | PO BOX 5865
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City | LUBBOCK
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State | TX
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Zip | 79408-5865
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Country | US
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Telephone | 806-743-2898
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Fax | 806-743-2787
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | J2853
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | J2853
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License Number State | TX
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