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NPI 1538556006

NPI 1538556006 : JOSEPH YARD M.D. : TYLER, TX

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General NPI Number Information
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    NPI Number           |    1538556006
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH YARD M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/22/2015
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    Last Update Date     |    02/02/2023
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Provider Practice Location Address
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    Address Line         |    800 E DAWSON ST 
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    City                 |    TYLER
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    State                |    TX
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    Zip                  |    75701-2036
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    Country              |    US
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    Telephone            |    903-606-4262
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 1ST ST SW 
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    City                 |    ROCHESTER
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    State                |    MN
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    Zip                  |    55905-0001
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    Country              |    US
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    Telephone            |    507-284-2511
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    Fax                  |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    23347
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    R0980
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    BP10053104
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    81259
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    License Number State |    WI
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