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General NPI Number Information
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NPI Number | 1538437199
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Entity Type | Individual
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Provider Name | MARCIA M YERO LPN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 131 OXFORD RD
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City | NEW HARTFORD
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State | NY
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Zip | 13413-2832
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Country | US
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Telephone | 315-797-1115
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Fax | 315-797-3883
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Provider Business Mailing Address
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Address Line | 30 EMERSON AVE
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City | UTICA
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State | NY
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Zip | 13501-5622
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Country | US
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Telephone | 315-797-1115
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Fax | 315-797-3883
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 2370601
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License Number State | NY
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